Organization Active NPI

Family Medicine of Farmville, Inc.

  • Specialist
  • Farmville, VA
National Provider Identifier
1497870877
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101035792 Issued in VA
Legal business name
FAMILY MEDICINE OF FARMVILLE, INC.
Practice address
400 Longwood Ave
Farmville, VA 23901-1524
Phone
(434) 392-6101
Fax
(434) 392-1003
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Linda T Varner, R.N.
Title
Office Manager
Phone
(434) 392-6101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 0101035792 VA Primary

Addresses

Primary practice location

400 Longwood Ave
Farmville, VA 23901-1524

Mailing address

400 Longwood Ave
Farmville, VA 23901-1524
Phone (434) 392-6101

Other identifiers 1

IdentifierTypeStateIssuer
5603242MedicaidVA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497870877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LONGWOOD AVE",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011524",
            "telephone_number": "434-392-6101",
            "fax_number": "434-392-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LONGWOOD AVE",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011524",
            "telephone_number": "434-392-6101",
            "fax_number": "434-392-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE OF FARMVILLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VARNER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "434-392-6101",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101035792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5603242",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.