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

Family Medicine of Blacksburg, LLC

Organization Family Medicine Physician · NPI 1558550301

Family Medicine of Blacksburg, LLC is a Family Medicine Physician 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.

See every abbreviation used in this directory →

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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