Active NPI
Family Medicine of Farmville, Inc.
- Specialist
- Farmville, VA
National Provider Identifier
1497870877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101035792
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5603242 | Medicaid | VA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Farmville, VA
- NPI 1497765473
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.