Healthcare Provider Details

I. General information

NPI: 1215785241
Provider Name (Legal Business Name): CARE FIRST MEDICAL P LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2024
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2851 CARROLLTON PIKE STE A5
WOODLAWN VA
24381-3664
US

IV. Provider business mailing address

2851 CARROLLTON PIKE STE A5
WOODLAWN VA
24381-3664
US

V. Phone/Fax

Practice location:
  • Phone: 336-965-0233
  • Fax:
Mailing address:
  • Phone: 336-965-0233
  • Fax: 833-973-5661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DIANE HELM
Title or Position: SOLE MBR
Credential: FNP-C
Phone: 336-965-0233