NPIMap

Organization Active NPI

DLP Twin County Physician Practices LLC

Doing business as Galax Family Care Center

  • Family Medicine Physician
  • Galax, VA
National Provider Identifier
1235404047
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DLP TWIN COUNTY PHYSICIAN PRACTICES LLC
Doing business as
Galax Family Care Center
Practice address
961 E Stuart Dr
Galax, VA 24333-2407
Phone
(276) 236-9953
Fax
(276) 236-6084
NPI assigned
Mar 12, 2012
Last updated
May 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Authorized official

Name
Mr. Jess N Judy
Title
President
Phone
(615) 372-8500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

961 E Stuart Dr
Galax, VA 24333-2407

Mailing address

961 E Stuart Dr
Galax, VA 24333-2407
Phone (276) 236-9953

Other names 1

  • Galax Family Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

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…

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

Locations

104 Cranberry Rd
Ste 200B
Galax, VA 24333
Phone (276) 236-5187

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1235404047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 E STUART DR",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332407",
            "telephone_number": "276-236-9953",
            "fax_number": "276-236-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 E STUART DR",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332407",
            "telephone_number": "276-236-9953",
            "fax_number": "276-236-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLP TWIN COUNTY PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "JUDY",
        "authorized_official_first_name": "JESS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-372-8500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galax Family Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.