Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fairfax Family Practice Centers PC

Organization Family Medicine Physician · NPI 1417071697

Fairfax Family Practice Centers PC provides Family Medicine Physician services in Reston, Virginia. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12110 Sunset Hills Rd Lowr Level 20
Reston, VA 20190 Not confirmed with CMS for 18 years — call before visiting
Phone: (703) 834-1473
Fax: (703) 318-7463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1417071697
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Jenkins — President · (703) 255-9100
Other names Town Center Family Medicine
NPI enumeratedMarch 16, 2007
Last updated in NPPESDecember 26, 2007
Mailing addressPo Box 791128, Baltimore, MD 21279-1128

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