Family Medicine Associates of North Stafford

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICINE ASSOCIATES OF NORTH STAFFORD

Practice address

2761 Jefferson Davis Hwy Ste 101
Stafford, VA 22554-8330

Phone

(909) 281-4720

NPI assigned

Oct 28, 2019

Last updated

Jan 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yolanda Reid, MDNPI 1184690935

Title

President

Phone

(909) 281-4720

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 3

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.

• Yolanda G Reid, MD

  • Family Medicine Physician
  • Stafford, VA
  • NPI 1184690935
  Medicare reassignment NPD Authorized official
• Taylor Brockman, NP

  • Family Nurse Practitioner
  • Suffolk, VA
  • NPI 1245883693
  Medicare reassignment NPD
• Jennifer Stuehler Grillo, CFNP

  • Family Nurse Practitioner
  • Fredericksburg, VA
  • NPI 1023344371
  NPD (past)

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1447893953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2761 JEFFERSON DAVIS HWY STE 101",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548330",
            "telephone_number": "540-786-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2761 JEFFERSON DAVIS HWY STE 101",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548330",
            "telephone_number": "909-281-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE ASSOCIATES OF NORTH STAFFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-281-4720",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "541595397",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010211689",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Preervation Services, Inc
• Family Way Home Health Care, LLC
• Shannon Daye Farag, M.D.
• Farm Creek
• Kelsey Ryan Coyle Farmer, MSOT, OTR/L

• Family Medicine Physician in Stafford, VA
• Providers in Stafford, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.