NPIMap

Organization Active NPI

Charlottesville Family Medicine, PC

  • Internal Medicine Physician
  • Charlottesville, VA
National Provider Identifier
1427128586
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHARLOTTESVILLE FAMILY MEDICINE, PC
Practice address
3025 Berkmar Dr
Suite 1
Charlottesville, VA 22901-1456
Phone
(434) 973-1831
Fax
(434) 973-1919
NPI assigned
Nov 8, 2006
Last updated
Nov 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Authorized official

Name
Ms. Lyn Anderson II
Title
Practice Manager
Phone
(434) 973-1831

Specialties & licenses 1

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

Addresses

Primary practice location

3025 Berkmar Dr
Suite 1
Charlottesville, VA 22901-1456

Mailing address

3025 Berkmar Dr
Suite 1
Charlottesville, VA 22901-1456
Phone (434) 973-1831

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
49D0225768Charlottesville Family Medicine3025 Berkmar Dr Suite 1, Charlottesville, VA 22901Certificate of waiverJul 16, 2028

National Provider Directory

National Provider Directory

Locations

1200 Five Springs Rd
Charlottesville, VA 22902
Phone (434) 973-1831

3025 Berkmar Dr
Charlottesvle, VA 22901
Phone (434) 973-1831

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1427128586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 BERKMAR DR",
            "address_2": "SUITE 1",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011456",
            "telephone_number": "434-973-1831",
            "fax_number": "434-973-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 BERKMAR DR",
            "address_2": "SUITE 1",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011456",
            "telephone_number": "434-973-1831",
            "fax_number": "434-973-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTESVILLE FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LYN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "434-973-1831",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.