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

Lifetime Family Medicine, LLC

Organization Family Medicine Physician · NPI 1134214356

Lifetime Family Medicine, LLC provides Family Medicine Physician services in Gainesville, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
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

14535 John Marshall Hwy Ste 105
Gainesville, VA 20155-4023 Not confirmed with CMS for 15 years — call before visiting
Phone: (703) 754-0425
Fax: (703) 754-2888
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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 · Licence 0101058775 (VA)

Record details

NPI number1134214356
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theresa Shupe — Owner · (703) 754-0425
NPI enumeratedOctober 4, 2006
Last updated in NPPESJuly 8, 2011
Mailing address14535 John Marshall Hwy, Suite 105, Gainesville, VA 20155-4023

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