MARTHA JEFFERSON MEDICAL GROUP LLC – NPI #1275720559
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.

MARTHA JEFFERSON MEDICAL GROUP LLC is a provider located in CHARLOTTESVILLE, VA. NPPES has assigned the NPI number 1275720559 to MARTHA JEFFERSON MEDICAL GROUP LLC on October 01, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 4 years ago on Sep 29, 2022. 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 MARTHA JEFFERSON MEDICAL GROUP LLC below.

NPI Profile for
MARTHA JEFFERSON MEDICAL GROUP LLC

NPI Number
1275720559
Enumeration Date

(more than 18 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
MARTHA JEFFERSON MEDICAL GROUP LLC
Primary location
590 PETER JEFFERSON PKWY STE 300
CHARLOTTESVILLE, VA 22911-4628
Phone: (434) 654-7340 Fax: (434) 654-7752
1 Other location(s):
500 Martha Jefferson Drive
Administration MB G254
Charlottesville, VA 22911-4668
Phone: (434) 654-7794
Fax: (434) 654-7752
Mailing address
PO BOX 746550
ATLANTA, GA 30374-6550
Phone: (434) 654-7340 Fax: (434) 654-7752
Organization Subpart
Yes - MARTHA JEFFERSON MEDICAL GROUP LLC is subpart of another organization.
Authorized Official
BRUCE CLEMONS
VICE PRESIDENT, MEDICAL DIRECTOR
Phone: (434) 654-5229
Updated
Certification Date
Sep 29, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.

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.