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

Generations Family Medicine PC

Organization Family Medicine Physician · NPI 1124239470

Generations Family Medicine PC provides Family Medicine Physician services in Reston, Virginia. Licensed in Virginia. Registered with an NPI since 2007.

Licensed in
VA
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

12040 S Lakes Dr Ste 190
Reston, VA 20191-1246 Not confirmed with CMS for 13 years — call before visiting
Phone: (703) 464-0686
Fax: (703) 464-0698
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 0101054571 (VA)

Record details

NPI number1124239470
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Kelleher — Medical Director · (703) 464-0686
Other names Generations Family Practice
NPI enumeratedMay 25, 2007
Last updated in NPPESJanuary 4, 2013
Mailing address12040 S Lakes Dr, Suite 207, Reston, VA 20191-1246

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