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Generations Family Medicine PC

Family Medicine Physician in Reston, VA · enumerated 2007 · authorized official Kevin Kelleher, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124239470

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Registry record

Entity type Organization (Type 2)
Legal business name Generations Family Medicine PC
Other name <Unavail>
Practice address 12040 S Lakes Dr, Ste 190, Reston, VA, 20191
Phone (703) 464-0686
Fax (703) 464-0698
Enumeration date May 25, 2007
Last updated in NPPES Jan 4, 2013

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 0101054571 (VA) Primary

Authorized official

Name Kevin Kelleher
Title Medical Director
Phone (703) 464-0686

Other identifiers

Identifier Type State Issuer
G00463 Other - MEDICARE GROUP NO.

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Generations Family Medicine PC located?
The practice location on file with NPPES is in Reston, VA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-01-04. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-01-04.