Active NPI
Central Virginia Family Physicians, Inc
Doing business as Timberlake Family Practice
- Family Medicine Physician
- Lynchburg, VA
National Provider Identifier
1720175961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CENTRAL VIRGINIA FAMILY PHYSICIANS, INC
- Doing business as
- Timberlake Family Practice
- Practice address
- 20304 Timberlake Rd
Lynchburg, VA 24502-7222 - Phone
- (434) 237-6471
- Fax
- (434) 237-8810
- NPI assigned
- Oct 9, 2006
- Organization subpart
- Yes
- Parent organization
- CENTRAL VIRGINIA FAMILY PHYSICIANS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew A Johnson, MD
- Title
- President
- Phone
- (434) 846-7374
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
20304 Timberlake Rd
Lynchburg, VA 24502-7222
Mailing address
PO Box 2489
Forest, VA 24551-6489
Phone (434) 382-1125
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528155892 | Other | VA | CVFP CORPORATE NPI |
| CC2392 | Other | VA | MEDICARE RAILROAD |
| 1528155892 | Medicaid | VA | |
| C03658 | Other | VA | CVFP MCARE GROUP PTAN |
Other names 1
- TIMBERLAKE FAMILY PRACTICE
National Provider Directory
National Provider Directory- Part of
- Forest Family Physician
Locations
2321 Wards Rd
Lynchburg, VA 24502
Phone (434) 582-2273
1203 Hospital Dr
Hurricane, WV 25526
Phone (304) 543-4980
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Lynchburg, VA
- NPI 1174505945
-
- Family Medicine Physician
- Asheville, NC
- NPI 1285667790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213142400000",
"number": "1720175961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2489",
"city": "FOREST",
"state": "VA",
"postal_code": "245516489",
"telephone_number": "434-382-1125",
"fax_number": "434-525-5748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20304 TIMBERLAKE RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245027222",
"telephone_number": "434-237-6471",
"fax_number": "434-237-8810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL VIRGINIA FAMILY PHYSICIANS, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CENTRAL VIRGINIA FAMILY PHYSICIANS",
"enumeration_date": "2006-10-09",
"last_updated": "2008-06-11",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "434-846-7374",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CVFP CORPORATE NPI",
"identifier": "1528155892",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "CC2392",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528155892",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CVFP MCARE GROUP PTAN",
"identifier": "C03658",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TIMBERLAKE FAMILY PRACTICE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lynchburg, VA
- Central Virginia Endoscopy, LLC
- Central Virginia ENT Associates, Inc
- Central Virginia Family Dentistry
- Central Virginia Family Physicians, Inc (Piedmont Family Practice)
- Central Virginia Family Physicians, Inc (Airport Immediate Care)
- Central Virginia Family Physicians, Inc (Blue Ridge Immediate Care)
- Central Virginia Family Physicians, Inc. (Liberty University Student Health Center)
- Central Virginia Family Physicians, Inc. Laboratory
- Central Virginia Health District Early Intervention
- Central Virginia Hospital for Restorative and Rehabilitative Care LLC (Centra Specialty Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.