GENERATIONS FAMILY PRACTICE – NPI #1124239470
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

GENERATIONS FAMILY PRACTICE is a provider located in RESTON, VA. NPPES has assigned the NPI number 1124239470 to GENERATIONS FAMILY PRACTICE on May 25, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GENERATIONS FAMILY PRACTICE” is a dba name, the actual legal business name for this organization is GENERATIONS FAMILY MEDICINE PC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 13 years ago on Jan 04, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GENERATIONS FAMILY PRACTICE below.

NPI Profile for
GENERATIONS FAMILY MEDICINE PC

NPI Number
1124239470
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GENERATIONS FAMILY MEDICINE PC
Doing Business As (dba): GENERATIONS FAMILY PRACTICE
Primary location
12040 S LAKES DR
STE 190
RESTON, VA 20191-1246
Phone: (703) 464-0686 Fax: (703) 464-0698
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KEVIN KELLEHER
MEDICAL DIRECTOR
Phone: (703) 464-0686
Updated
Identifiers

Identifiers for GENERATIONS FAMILY PRACTICE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE GROUP NO.G00463
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
VA 0101054571

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.