Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Family Medicine of Blacksburg, LLC

Organization Family Medicine Physician · NPI 1558550301

Family Medicine of Blacksburg, LLC provides Family Medicine Physician services in Blacksburg, Virginia. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1645 N Main St
Blacksburg, VA 24060-2554
Phone: (540) 552-1246
Fax: (540) 552-1247
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1558550301
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Johnson — Group Vp/Ao · (615) 372-3375
NPI enumeratedOctober 17, 2007
Last updated in NPPESOctober 30, 2020
Certification dateOctober 30, 2020
Mailing address2000 Health Park Dr, Brentwood, TN 37027-4525

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