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

Family Medicine of Jefferson City, LLC

Organization Family Medicine Physician · NPI 1043319957

Family Medicine of Jefferson City, LLC provides Family Medicine Physician services in Jefferson City, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
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

1616 Southridge Dr Ste #203
Jefferson City, MO 65109-5677
Phone: (573) 659-7300
Fax: (573) 636-0555
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence R9J28 (MO)

Record details

NPI number1043319957
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Lavery — Owner/President · (573) 659-7300
NPI enumeratedSeptember 21, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1616 Southridge Dr, Suite #203, Jefferson City, MO 65109-5677

Other providers in Jefferson City