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

Eastlake Primary Care PC

Organization Family Medicine Physician · NPI 1043002934

Eastlake Primary Care PC is a Family Medicine Physician in Moneta, Virginia. Registered with an NPI since 2025.

In the registry since
2025
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

14807 Moneta Rd Ste J
Moneta, VA 24121-6449
Phone: (540) 703-2682
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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 number1043002934
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Holly Roy — Ceo · (540) 703-2682
NPI enumeratedMay 19, 2025
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026
Mailing address14807 Moneta Rd Ste J, Moneta, VA 24121-6449

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