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CHANCELLOR PRIMARY CARE PLLC
NPI 1962092536
Internal Medicine in Fredericksburg, VA

Active since January 19, 2021CLIA 49D2214989 · Waiver
4510 PLANK RD STE 200, FREDERICKSBURG, VA 22407(540) 295-9725 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 23, 2021, Jan 19, 2021 (2 updates tracked since 2021).

About Chancellor Primary Care Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANCELLOR PRIMARY CARE PLLC (NPI 1962092536) is a healthcare organization registered as an internal medicine in Fredericksburg, Virginia and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through February 25, 2027 and lists Jennifer Ross, Owner, as its authorized official.

NPPES Registry Identity

NPI1962092536
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCHANCELLOR PRIMARY CARE PLLC
Location Address4510 PLANK RD STE 200Fredericksburg, VA 22407-0138
Mailing Address4510 Plank Rd Ste 200Fredericksburg, VA 22407-0138 · (540) 295-9725
Phone(540) 295-9725
Organization SubpartNo
Authorized OfficialJennifer RossOwner · (540) 295-9725
Enumeration DateJanuary 19, 2021
Last NPPES UpdateFebruary 23, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2021
✔ NPI 1962092536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4510 PLANK RD STE 200, Fredericksburg, VA 22407
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 49D2214989

Chancellor Primary Care · Fredericksburg, VA
Active · expires Feb 25, 2027
CLIA Number49D2214989
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2025
Certificate Expiration DateFebruary 25, 2027
Laboratory DirectorJennifer L. Ross
Laboratory Phone(540) 870-6550
Laboratory LocationChancellor Primary Care4510 Plank Rd Suite 200, Fredericksburg, VA 22407
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JENNIFER LYNN ROSS M.D.
Internal Medicine
4510 PLANK RD STE 200
FREDERICKSBURG, VA 22407
Spotsylvania County (540) 870-6550
DR. DAWN RENEE ALEXANDER MD
Family Medicine
4510 PLANK RD STE 200
FREDERICKSBURG, VA 22407
Spotsylvania County (540) 870-6550

Frequently 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 Chancellor Primary Care PLLC's NPI number?

The NPI number for Chancellor Primary Care PLLC is 1962092536. It was assigned to this organization in the NPPES registry on January 19, 2021.

Where is Chancellor Primary Care PLLC located?

Chancellor Primary Care PLLC is located at 4510 Plank Rd Ste 200, Fredericksburg, VA 22407. The listed phone number is (540) 295-9725.

What is Chancellor Primary Care PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Chancellor Primary Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2214989) is associated with this NPI, valid through February 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chancellor Primary Care PLLC was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.