OLDTOWN MEDICAL CARE, LLC
NPI 1043558745
Family Medicine in Galax, VA
About Oldtown Medical Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLDTOWN MEDICAL CARE, LLC (NPI 1043558745) is a healthcare organization registered as a family medicine in Galax, Virginia and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through December 17, 2026 and lists Angela H Willey, Practice Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Oldtown Medical Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Oldtown Medical Care, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 49D2051430
Old Town Medical Care, LLC · Galax, VAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Oldtown Medical Care, LLC's NPI number?
The NPI number for Oldtown Medical Care, LLC is 1043558745. It was assigned to this organization in the NPPES registry on January 30, 2013.
Where is Oldtown Medical Care, LLC located?
Oldtown Medical Care, LLC is located at 306 Meadow St, Galax, VA 24333. The listed phone number is (276) 236-5300.
What is Oldtown Medical Care, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Oldtown Medical Care, LLC enrolled in Medicare?
Yes. Oldtown Medical Care, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Oldtown Medical Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Oldtown Medical Care, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Oldtown Medical Care, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2051430) is associated with this NPI, valid through December 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Oldtown Medical Care, LLC was last updated on May 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Oldtown Medical Care, Llc · NPI 1043558745
Family Medicine organization in Galax, Virginia. Organization record, active in the CMS NPPES registry since January 30, 2013.
## Identity
- **NPI:** 1043558745 (Entity type: Organization)
- **Enumerated:** January 30, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Angela Willey, PRACTICE OWNER
## Practice location
- **Address:** 306 MEADOW ST, Galax, VA 24333
- **Phone:** (276) 236-5300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 24, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043558745) · Data from the CMS NPPES public registry.