Individual provider Active NPI

Joshua Servellon, DO

  • Family Medicine Physician
  • Front Royal, VA
National Provider Identifier
1285420646
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0116040774 Issued in VA
Practice address
351 Valley Health Way Ste 300
Front Royal, VA 22630-6480
Phone
(540) 631-3700
NPI assigned
Apr 15, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116040774 VA Primary

Addresses

Primary practice location

351 Valley Health Way Ste 300
Front Royal, VA 22630-6480

Mailing address

1150 Julia St NW
Huntsville, AL 35816-3757
Phone (626) 806-9679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250911001253 VA Order and Referring Only - Family PracticePractitioner - Family Practice 0941703425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0116040774VAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1285420646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 JULIA ST NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358163757",
            "telephone_number": "626-806-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 VALLEY HEALTH WAY STE 300",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226306480",
            "telephone_number": "540-631-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVELLON",
        "first_name": "JOSHUA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116040774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

Verify at the official NPI Registry.