Active NPI
Prime Care Physicians LLC
- Primary Care Clinic/Center
- Falls Church, VA
National Provider Identifier
1669978300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- PRIME CARE PHYSICIANS LLC
- Practice address
- 6299 Leesburg Pike Ste C
Falls Church, VA 22044-2101 - Phone
- (571) 216-9984
- NPI assigned
- Apr 2, 2018
- 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
- Dereje Legesse, MD
- Title
- Chief Medical Director
- Phone
- (571) 216-9984
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
6299 Leesburg Pike Ste C
Falls Church, VA 22044-2101
Mailing address
4666 Kell LN
Alexandria, VA 22311-4918
Phone (571) 216-9984
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522627200000",
"number": "1669978300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4666 KELL LN",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223114918",
"telephone_number": "571-216-9984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6299 LEESBURG PIKE STE C",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220442101",
"telephone_number": "571-216-9984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME CARE PHYSICIANS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-02",
"last_updated": "2018-04-02",
"status": "A",
"authorized_official_last_name": "LEGESSE",
"authorized_official_first_name": "DEREJE",
"authorized_official_title_or_position": "CHIEF MEDICAL DIRECTOR",
"authorized_official_telephone_number": "571-216-9984",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.