Organization Active NPI

Mountain Springs Family Practice LLC

  • Primary Care Clinic/Center
  • Copper Hill, VA
National Provider Identifier
1023125986
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MOUNTAIN SPRINGS FAMILY PRACTICE LLC
Practice address
9104 Floyd Hwy N
Copper Hill, VA 24079-2114
Phone
(540) 929-9095
Fax
(540) 929-9003
NPI assigned
Aug 24, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jean Marie Black, FNPNPI 1417938416
Title
Family Nurse Practitioner Member
Phone
(540) 929-9095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

9104 Floyd Hwy N
Copper Hill, VA 24079-2114

Mailing address

9104 Floyd Hwy N
Copper Hill, VA 24079-2114
Phone (540) 929-9095

Other names 1

  • Mountain Spring Family Practice LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1023125986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9104 FLOYD HWY N",
            "city": "COPPER HILL",
            "state": "VA",
            "postal_code": "240792114",
            "telephone_number": "540-929-9095",
            "fax_number": "540-929-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9104 FLOYD HWY N",
            "city": "COPPER HILL",
            "state": "VA",
            "postal_code": "240792114",
            "telephone_number": "540-929-9095",
            "fax_number": "540-929-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SPRINGS FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER MEMBER",
        "authorized_official_telephone_number": "540-929-9095",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Spring Family Practice LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Copper Hill, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.