Organization · Type 2 NPI

Fairfax Family Practice Centers PC

Family Medicine Physician · Dulles, VA

NPI number 1528182706 Active

Practice location

24430 Stone Springs Blvd Ste 400
Dulles, VA 20166-2268

Call (703) 766-5040 Map

Fax (703) 766-5047

Mailing address

381 Elden St Ste 1000
Herndon, VA 20170-4842

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Physical Therapist	225100000X	None listed

Family Medicine Physician: 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.

5 other providers at this address

Other family medicine physician providers in Dulles

See all in Dulles →

NPI record

NPI: 1528182706
Entity type: Organization (Type 2)
Issued: Mar 16, 2007
Last updated: Feb 23, 2026
Status: Active
Subpart: Yes of Fairfax Family Practice Centers PC

Other names

<unavail>
South Riding Family Medicine · doing business as
Stone Springs Family Medicine · other name

Authorized official

David W Lee
President
(703) 766-5040

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1528182706

Fairfax Family Practice Centers PC's National Provider Identifier is 1528182706, issued on Mar 16, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Dulles, VA. The record was last updated on Feb 23, 2026.