NPIMap

Organization Active NPI

DLP Twin County Physician Practices LLC

Doing business as Independence Family Care Center

  • Internal Medicine Physician
  • Independence, VA
National Provider Identifier
1053687285
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DLP TWIN COUNTY PHYSICIAN PRACTICES LLC
Doing business as
Independence Family Care Center
Practice address
217 S Independence Ave
Independence, VA 24348-2802
Phone
(276) 236-0065
NPI assigned
Apr 2, 2012
Last updated
Oct 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

217 S Independence Ave
Independence, VA 24348-2802

Mailing address

217 S Independence Ave
Independence, VA 24348-2802
Phone (276) 236-0065

Other names 1

  • Independence Family Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120503000011 VA Part B Supplier - Clinic/Group Practice 7214199512 Receives reassigned benefits from 86 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wytheville, VA; Winchester, VA; Sparta, NC; Independence, VA; Hillsville, VA; Goode, VA; Galax, VA; Charlottesville, VA…
O20140725001883 NC Part B Supplier - Clinic/Group Practice 7214199512 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Wilson, NC; Winston Salem, NC; Sparta, NC; Cary, NC

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

National Provider Directory

National Provider Directory
Tax ID family
DLP Twin Cty Phys Prac16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

217 S Independence Ave
Independence, VA 24348
Phone (276) 773-2063

Practitioners & affiliated clinicians

Practitioners 10

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": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1053687285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S INDEPENDENCE AVE",
            "city": "INDEPENDENCE",
            "state": "VA",
            "postal_code": "243482802",
            "telephone_number": "276-236-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S INDEPENDENCE AVE",
            "city": "INDEPENDENCE",
            "state": "VA",
            "postal_code": "243482802",
            "telephone_number": "276-236-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLP TWIN COUNTY PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independence Family Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Independence Family Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.