Active NPI
Grace Family Medicine PLC
- Primary Care Clinic/Center
- Forest, VA
National Provider Identifier
1285944983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 0101054652
- 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, 2010
- 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
- Dr. Scott B Adams, MD
- Title
- Physician Owner
- Phone
- (434) 525-4722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013905785 | Other | VA | NPI |
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 |
|---|---|---|---|
| 49D2015444 | Grace Family Medicine, PLC | Certificate of waiver | Oct 26, 2026 |
National Provider Directory
National Provider DirectoryLocations
15421 Forest Rd
Ste B
Forest, VA 24551
Phone (434) 525-4722
Interoperability endpoints
- 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.