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PATRIOT PRIMARY CARE
NPI 1962599100
Family Medicine in Grafton, VA

Active since October 09, 2006CLIA 49D1059508 · Waiver
2855 DENBIGH BLVD, GRAFTON, VA 23692(757) 968-5700(757) 968-5717 Get Directions Write a Review

NPPES record last updated: September 28, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Patriot Primary Care NPPES

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

PATRIOT PRIMARY CARE (NPI 1962599100) is a healthcare organization registered as a family medicine in Grafton, Virginia and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 13, 2027 and lists James Lesnick, Vice President, as its authorized official.

NPPES Registry Identity

NPI1962599100
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRIVERSIDE PHYSICIAN SERVICES INC
Location Address2855 DENBIGH BLVDGrafton, VA 23692-6501
Mailing Address856 J Clyde Morris Blvd, Suite ANewport News, VA 23601-1318 · (757) 594-4006 · Fax (757) 534-5190
Phone(757) 968-5700
Fax(757) 968-5717
Organization SubpartYes
Authorized OfficialJames LesnickVice President · (757) 594-4006
Enumeration DateOctober 9, 2006
Last NPPES UpdateSeptember 28, 2011
✔ NPI 1962599100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2855 DENBIGH BLVD, Grafton, VA 23692
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Other Names 1

Doing Business AsPatriot Primary Care

Other Identifiers 1

Medicare PINC03953VA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 49D1059508

Patriot Primary Care · Grafton, VA
Active · expires Apr 13, 2027
CLIA Number49D1059508
Laboratory TypePhysician Office
Certificate Effective DateApril 14, 2025
Certificate Expiration DateApril 13, 2027
Laboratory DirectorEmily S. Dudley
Laboratory Phone(757) 968-5700
Laboratory LocationPatriot Primary Care2855 Denbigh Boulevard, Grafton, VA 23692
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

HALEY LYNN KIELBAS
Physician Assistant
2855 DENBIGH BLVD
GRAFTON, VA 23692
York County (757) 968-5700
RIVERSIDE PHYSCIAN SERVICES INC
Obstetrics & Gynecology
2855 DENBIGH BLVD
GRAFTON, VA 23692
York County (757) 750-2200
EMILY SARAH DUDLEY PA
Physician Assistant
2855 DENBIGH BLVD, SUITE A
GRAFTON, VA 23692
York County (757) 968-5700
WARREN PAUL WEIXLER M.D.
Family Medicine
2855 DENBIGH BLVD, SUITE A
YORKTOWN, VA 23692
York County (757) 968-5700
MISS KRYSTAL ANN WRIGHT FNP
Nurse Practitioner (Family)
2855 DENBIGH BLVD
GRAFTON, VA 23692
York County (757) 968-5700

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 Riverside Physician Services Inc's NPI number?

The NPI number for Riverside Physician Services Inc is 1962599100. It was assigned to this organization in the NPPES registry on October 9, 2006. The provider is doing business as Patriot Primary Care.

Where is Riverside Physician Services Inc located?

Riverside Physician Services Inc is located at 2855 Denbigh Blvd, Grafton, VA 23692. The listed phone number is (757) 968-5700.

What is Riverside Physician Services Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Riverside Physician Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1059508) is associated with this NPI, valid through April 13, 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 Riverside Physician Services Inc was last updated on September 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.