Eastlake Primary Care PC
NPI 1043002934 · Family Medicine Physician · Moneta, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eastlake Primary Care PC is a Family Medicine Physician organization in Moneta, VA (NPI 1043002934).
Provider details
- NPI number
- 1043002934
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Holly Roy, Ceo(540) 703-2682
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-05-19
- Last updated
- 2026-02-25
- Certified
- 2026-02-25
Frequently asked questions
- What is Eastlake Primary Care PC's NPI number?
- Eastlake Primary Care PC's National Provider Identifier (NPI) is 1043002934, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastlake Primary Care PC?
- Eastlake Primary Care PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Eastlake Primary Care PC located?
- Eastlake Primary Care PC's practice location on file with NPPES is 14807 Moneta Rd Ste J, Moneta, VA 24121-6449.
- What is Eastlake Primary Care PC's phone number?
- The practice phone number listed in the NPPES registry for Eastlake Primary Care PC is (540) 703-2682.
- Does Eastlake Primary Care PC accept Medicare?
- Eastlake Primary Care PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Eastlake Primary Care PC?
- The authorized official listed on Eastlake Primary Care PC's NPPES record is Holly Roy, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastlake Primary Care PC's NPI active?
- Yes — Eastlake Primary Care PC's NPI (1043002934) is active in the NPPES registry as of the last update on 2026-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.