Gainesville Family Practice, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GAINESVILLE FAMILY PRACTICE, P.C.

Practice address

7915 Lake Manassas Dr Ste 102
Gainesville, VA 20155-3259

Phone

(703) 754-4101

Fax

(703) 754-1105

NPI assigned

Sep 26, 2005

Organization subpart

No

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

Authorized official

Name

Allison Tobias

Title

Practice Manager

Phone

(703) 754-4101

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Trefzger Baker, CFNP

  • Family Nurse Practitioner
  • Gainesville, VA
  • NPI 1962520411
  Medicare reassignment Care Compare group NPD
• Jason Vanvliet Hackett, M.D.

  • Family Medicine Physician
  • Gainesville, VA
  • NPI 1255327128
  Medicare reassignment Care Compare group NPD
• Douglas Sigmon, M.D.

  • Family Medicine Physician
  • Gainesville, VA
  • NPI 1780670679
  Medicare reassignment Care Compare group NPD
• Susan Turkington, M.D.

  • Family Medicine Physician
  • Gainesville, VA
  • NPI 1801882790
  Medicare reassignment Care Compare group NPD
• Susan Kathleen Fitzgerald, M.D.

  • Family Medicine Physician
  • Manassas, VA
  • NPI 1730175209
  NPD (past)
• Amy K Moreno, MD

  • Family Medicine Physician
  • Manassas, VA
  • NPI 1235175332
  NPD (past)
• Joyce J Dornan, M.D.

  • Dermatology Physician
  • Boca Raton, FL
  • NPI 1528179108

  Family Medicine

  NPD (past)
• Kelly Melissa Ray, NP

  • Nurse Practitioner
  • Stanford, CA
  • NPI 1023280377
  NPD (past)

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1871589770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7915 LAKE MANASSAS DR STE 102",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553259",
            "telephone_number": "703-754-4101",
            "fax_number": "703-754-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 LAKE MANASSAS DR STE 102",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553259",
            "telephone_number": "703-754-4101",
            "fax_number": "703-754-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE FAMILY PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "TOBIAS",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "703-754-4101"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gainesville Dental Arts, PLLC
• Gainesville Dental Associates
• Gainesville Dental Partners, PC
• Gainesville Eye Associates, LLC
• Gainesville Family Dentistry, PLC
• Gainesville Home Health Care LLC
• Gainesville Optometry, LLC
• Gainesville Orthodontic Associates
• Gainesville Pharmacy LLC
• Gainesville Physical Therapy Incorporated

• Family Medicine Physician in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.