Organization Active NPI

Family First Medical PC

  • Clinic/Center
  • Pennington Gap, VA
National Provider Identifier
1851940175
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FAMILY FIRST MEDICAL PC
Doing business as
Family First Medical PC
Practice address
282 Westgate Mall Cir
Pennington Gap, VA 24277-0030
Phone
(276) 546-5600
NPI assigned
Sep 9, 2019
Last updated
Mar 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Authorized official

Name
Mona Speak, DNP,FNP-BC
Title
Owner
Phone
(276) 546-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

282 Westgate Mall Cir
Pennington Gap, VA 24277-0030

Mailing address

PO Box 556
Pennington Gap, VA 24277-0556
Phone (276) 546-5600

Other names 1

  • Family First Medical PC Doing business as

National Provider Directory

National Provider Directory

Locations

282 Westgate Mall Cir
Pennington Gap, VA 24277
Phone (276) 546-5600

282 Westgate Mall Cir
Ste 110
Pennington Gap, VA 24277
Phone (276) 337-7840

41718 W Morgan Ave
#101
Pennington Gap, VA 24277
Phone (276) 231-9228

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1851940175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 556",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "242770556",
            "telephone_number": "276-546-5600",
            "fax_number": "877-765-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 WESTGATE MALL CIR",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "242770030",
            "telephone_number": "276-546-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "SPEAK",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-546-5600",
        "authorized_official_credential": "DNP,FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family First Medical PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family First Medical PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pennington Gap, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.