Organization Active NPI

Central Virginia Family Physicians, Inc

Doing business as Timberlake Family Practice

  • Family Medicine Physician
  • Lynchburg, VA
National Provider Identifier
1720175961
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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 PHYSICIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1528155892OtherVACVFP CORPORATE NPI
CC2392OtherVAMEDICARE RAILROAD
1528155892MedicaidVA
C03658OtherVACVFP MCARE GROUP PTAN

Other names 1

  • TIMBERLAKE FAMILY PRACTICE Doing business as

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.

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

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.

Verify at the official NPI Registry.