HERITAGE FAMILY PRACTICE ASSOCIATES, P.C.
NPI 1881765279
Family Medicine in Fairfax, VA
About Heritage Family Practice Associates, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HERITAGE FAMILY PRACTICE ASSOCIATES, P.C. (NPI 1881765279) is a healthcare organization registered as a family medicine in Fairfax, Virginia and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through January 31, 2028 and lists James Overton, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Heritage Family Practice Associates, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Heritage Family Practice Associates, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 49D0678354
Heritage Family Practice PC · Fairfax, VAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Heritage Family Practice Associates, P.C.'s NPI number?
The NPI number for Heritage Family Practice Associates, P.C. is 1881765279. It was assigned to this organization in the NPPES registry on November 10, 2006.
Where is Heritage Family Practice Associates, P.C. located?
Heritage Family Practice Associates, P.C. is located at 4001 Fair Ridge Dr #101, Fairfax, VA 22033. The listed phone number is (703) 385-6789.
What is Heritage Family Practice Associates, P.C.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Heritage Family Practice Associates, P.C. enrolled in Medicare?
Yes. Heritage Family Practice Associates, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Heritage Family Practice Associates, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Heritage Family Practice Associates, P.C., in Family Practice, Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Heritage Family Practice Associates, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D0678354) is associated with this NPI, valid through January 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Heritage Family Practice Associates, P.C. was last updated on April 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Heritage Family Practice Associates, P.c. · NPI 1881765279
Family Medicine organization in Fairfax, Virginia. Organization record, active in the CMS NPPES registry since November 10, 2006.
## Identity
- **NPI:** 1881765279 (Entity type: Organization)
- **Enumerated:** November 10, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** James Overton, OFFICE MANAGER
## Practice location
- **Address:** 4001 FAIR RIDGE DR, #101, Fairfax, VA 22033-2917
- **Phone:** (703) 385-6789 · **Fax:** (703) 352-9409
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1), Internal Medicine (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 9, 2014
- **Other identifiers:** Medicare PIN 619286 (VA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1881765279) · Data from the CMS NPPES public registry.