OLDTOWN MEDICAL CARE, LLC
NPI 1043558745
Family Medicine in Galax, VA

Active since January 30, 2013CLIA 49D2051430 · Waiver
306 MEADOW ST, GALAX, VA 24333(276) 236-5300 Get Directions Write a Review

NPPES record last updated: May 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1043558745
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOLDTOWN MEDICAL CARE, LLC
Location Address306 MEADOW STGalax, VA 24333
Mailing Address306 Meadow StGalax, VA 24333-3020 · (276) 236-5300
Organization SubpartNo
Authorized OfficialAngela H WilleyPractice Owner · (276) 236-5300
Enumeration DateJanuary 30, 2013
Last NPPES UpdateMay 24, 2018
NPI 1043558745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
306 MEADOW ST, Galax, VA 24333

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, VA
Active · expires Dec 17, 2026
CLIA Number49D2051430
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorWendi H. Helsabeek
Laboratory Phone(276) 236-5300
Laboratory LocationOld Town Medical Care, LLC306 Meadow Street, Galax, VA 24333
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
306 MEADOW ST
GALAX, VA 24333
Nurse Practitioner (Family)
306 MEADOW ST
GALAX, VA 24333

Frequently 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.

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.