Family Medicine of Lake Ridge PC
NPI 1417045816 · Family Medicine Physician · Woodbridge, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Family Medicine of Lake Ridge PC is a Family Medicine Physician organization in Woodbridge, VA (NPI 1417045816).
Provider details
- NPI number
- 1417045816
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gerry Cope, Physician(703) 490-6265
- License
- 0101039027 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs 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
Other names (DBA / former)
- Other name
- Family Medicine of Lake Ridge
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2020-08-22
Frequently asked questions
- What is Family Medicine of Lake Ridge PC's NPI number?
- Family Medicine of Lake Ridge PC's National Provider Identifier (NPI) is 1417045816, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Family Medicine of Lake Ridge PC?
- Family Medicine of Lake Ridge PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Family Medicine of Lake Ridge PC located?
- Family Medicine of Lake Ridge PC's practice location on file with NPPES is 3401 Commission Ct, Woodbridge, VA 22192.
- What is Family Medicine of Lake Ridge PC's phone number?
- The practice phone number listed in the NPPES registry for Family Medicine of Lake Ridge PC is (703) 490-6265.
- Does Family Medicine of Lake Ridge PC accept Medicare?
- Family Medicine of Lake Ridge 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 Family Medicine of Lake Ridge PC?
- The authorized official listed on Family Medicine of Lake Ridge PC's NPPES record is Gerry Cope, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Family Medicine of Lake Ridge PC's NPI active?
- Yes — Family Medicine of Lake Ridge PC's NPI (1417045816) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.