Organization Active NPI

Stephens City Family Medicine LLC

  • Family Medicine Physician
  • Stephens City, VA
National Provider Identifier
1306995717
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101233394 Issued in VA
Legal business name
STEPHENS CITY FAMILY MEDICINE LLC
Practice address
160 Warrior Dr
Stephens City, VA 22655-4044
Phone
(540) 868-4100
Fax
(540) 868-0888
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Mrs. Monica Hott
Title
Office Manager
Phone
(540) 868-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 0101233394 VA Primary

Addresses

Primary practice location

160 Warrior Dr
Stephens City, VA 22655-4044

Mailing address

160 Warrior Dr
Stephens City, VA 22655-4044
Phone (540) 868-4100

Other identifiers 4

IdentifierTypeStateIssuer
1306995717MedicaidVA
129363OtherVACOMMUNITY HEALTH
137797OtherVAANTHEM
7650702OtherVAAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050330000473 VA Part B Supplier - Clinic/Group Practice 9638125842 Receives reassigned benefits from 6 practitioners
Practice locations: Stephens City, VA

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
49D1043492Stephens City Family Medicine, LLC160 Warrior Drive, Stephens City, VA 22655Certificate of waiverJul 25, 2027

National Provider Directory

National Provider Directory

Locations

5933 Valley Pike
Stephens City, VA 22655
Phone (540) 869-4800

370 Fairfax Pike
Stephens City, VA 22655
Phone (540) 868-4100

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1306995717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WARRIOR DR",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226554044",
            "telephone_number": "540-868-4100",
            "fax_number": "540-868-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WARRIOR DR",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226554044",
            "telephone_number": "540-868-4100",
            "fax_number": "540-868-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS CITY FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "HOTT",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "540-868-4100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101233394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306995717",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH",
            "identifier": "129363",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "137797",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7650702",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stephens City, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.