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 is a Family Medicine Physician 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
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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