NPIMap

Organization Active NPI

Valley Physician Enterprise Inc

Doing business as Valley Health Primary Care

  • Family Medicine Physician
  • Winchester, VA
National Provider Identifier
1922543677
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VALLEY PHYSICIAN ENTERPRISE INC
Doing business as
Valley Health Primary Care
Valley Health Winchester Family Practice
Practice address
1440 Amherst St
Winchester, VA 22601-3010
Phone
(540) 536-5400
Fax
(540) 536-5490
NPI assigned
Jan 4, 2017
Last updated
May 28, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
VALLEY HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Renee Nevada Johnson
Title
Credentialing Coordinator
Phone
(540) 536-0103

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Clinical Social Worker 1041C0700X NU
Family Medicine Physician 207Q00000X NU Primary
Diagnostic Radiology Physician 2085R0202X NU

Addresses

Primary practice location

1440 Amherst St
Winchester, VA 22601-3010

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2888
Phone (540) 536-5100

Other practice location 1

611 E Jubal Early Dr
Winchester, VA 22601-5178
Phone (540) 536-5500

Other practice location 2

519 W Jubal Early Dr Ste 301
Winchester, VA 22601-6519
Phone (540) 536-5500

Other names 2

  • Valley Health Primary Care Doing business as
  • Valley Health Winchester Family Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081104000278 VA Part B Supplier - Clinic/Group Practice 9931268091 Receives reassigned benefits from 494 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winchester, VA; Front Royal, VA; Woodstock, VA; Berryville, VA; Luray, VA; Maurertown, VA; New Market, VA; Mount Jackson, VA

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

National Provider Directory

National Provider Directory
Part of
Valley Health

Locations

1870 Amherst St
Ste 2B
Winchester, VA 22601
Phone (540) 536-6721

1880 Amherst St
Ste 300
Winchester, VA 22601
Phone (540) 536-6721

Interoperability endpoints

  • FHIR API: https://epicproxy.et1320.epichosted.com/FHIRProxy/api/FHIR/R4

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1922543677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012888",
            "telephone_number": "540-536-5100",
            "fax_number": "540-536-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013010",
            "telephone_number": "540-536-5400",
            "fax_number": "540-536-5490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 E Jubal Early Dr",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226015178",
            "country_code": "US",
            "telephone_number": "540-536-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "519 W Jubal Early Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226016519",
            "country_code": "US",
            "telephone_number": "540-536-5500",
            "fax_number": "540-536-5007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY PHYSICIAN ENTERPRISE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY HEALTH SYSTEM",
        "enumeration_date": "2017-01-04",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "NEVADA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "540-536-0103"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Health Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Health Winchester Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.