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

Lifetime Family Medicine, LLC

Organization Family Medicine Physician · NPI 1134214356

Lifetime Family Medicine, LLC is a Family Medicine Physician 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
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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