Organization Active NPI

Grace Family Medicine PLC

  • Primary Care Clinic/Center
  • Forest, VA
National Provider Identifier
1285944983
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0101054652 Issued in VA
Legal business name
GRACE FAMILY MEDICINE PLC
Practice address
15421 Forest Rd Ste B
Forest, VA 24551-2274
Phone
(434) 525-4722
NPI assigned
Oct 15, 2010
Last updated
Oct 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Authorized official

Name
Dr. Scott B Adams, MD
Title
Physician Owner
Phone
(434) 525-4722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0101054652 VA Primary

Addresses

Primary practice location

15421 Forest Rd Ste B
Forest, VA 24551-2274

Mailing address

15421 Forest Rd Ste B
Forest, VA 24551-2274
Phone (434) 525-4722

Other identifiers 1

IdentifierTypeStateIssuer
1013905785OtherVANPI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2015444Grace Family Medicine, PLC15421 Forest Road - Suite B, Forest, VA 24551Certificate of waiverOct 26, 2026

National Provider Directory

National Provider Directory

Locations

15421 Forest Rd
Ste B
Forest, VA 24551
Phone (434) 525-4722

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2769/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1285944983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15421 FOREST RD STE B",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512274",
            "telephone_number": "434-525-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15421 FOREST RD STE B",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512274",
            "telephone_number": "434-525-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE FAMILY MEDICINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "434-525-4722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101054652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013905785",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.