Active NPI
Rocky Run Family Medicine Inc
- Legal Medicine
- Centreville, VA
National Provider Identifier
1043234552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 144870
- Legal business name
- ROCKY RUN FAMILY MEDICINE INC
- Practice address
- 5645 Stone Rd
Centreville, VA 20120-1618 - Phone
- (703) 266-2442
- Fax
- (703) 266-7158
- NPI assigned
- Jul 27, 2006
- Last updated
- Mar 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Laurie Susan Markin, M.D.
- Title
- President
- Phone
- (703) 266-2442
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 144870 | VA | Primary |
Addresses
Primary practice location
5645 Stone Rd
Centreville, VA 20120-1618
Mailing address
5645 Stone Rd
Centreville, VA 20120-1618
Phone (703) 266-2442
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8094-0001 | Other | VA | CAREFIRST |
| 8094-0002 | Other | VA | CAREFIRST |
| 5615747 | Medicaid | VA | |
| 383306 | Other | VA | ANTHEM BC/BS |
| 8094-0004 | Other | VA | CAREFIRST |
| 5615712 | Medicaid | VA | |
| 5615691 | Medicaid | VA | |
| 383307 | Other | VA | ANTHEM BC/BS |
| 383308 | Other | VA | ANTHEM BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0892974 | Rocky Run Family Medicine, Inc | Provider-performed microscopy | Jul 16, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 9
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.
-
- Family Nurse Practitioner
- Falls Church, VA
- NPI 1669124939
-
- Family Medicine Physician
- Tacoma Park, MD
- NPI 1831122969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741651200000",
"number": "1043234552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5645 STONE RD",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201201618",
"telephone_number": "703-266-2442",
"fax_number": "703-266-7158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5645 STONE RD",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201201618",
"telephone_number": "703-266-2442",
"fax_number": "703-266-7158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKY RUN FAMILY MEDICINE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A",
"authorized_official_last_name": "MARKIN",
"authorized_official_first_name": "LAURIE",
"authorized_official_middle_name": "SUSAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-266-2442",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "VA",
"license": "144870",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "8094-0001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "8094-0002",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5615747",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "383306",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "8094-0004",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5615712",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5615691",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "383307",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "383308",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Centreville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.