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FAMILY CARE CENTER OF BUCHANAN COUNTY, LLC
NPI 1104985472
Family Medicine in Grundy, VA

Active since December 06, 2006CLIA 49D1012790 · Waiver
1109 PLAZA DR STE 1, EAST GRUNDY PLAZA, GRUNDY, VA 24614(276) 935-2677(276) 935-5775 Get Directions Write a Review

NPPES record last updated: October 23, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Family Care Center Of Buchanan County, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY CARE CENTER OF BUCHANAN COUNTY, LLC (NPI 1104985472) is a healthcare organization registered as a family medicine in Grundy, Virginia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through May 20, 2027 and lists Michelle Lee Hess, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104985472
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY CARE CENTER OF BUCHANAN COUNTY, LLC
Location Address1109 PLAZA DR STE 1, EAST GRUNDY PLAZAGrundy, VA 24614-6780
Mailing AddressPo Box 1440Grundy, VA 24614-1440 · (276) 935-2677 · Fax (276) 935-5775
Phone(276) 935-2677
Fax(276) 935-5775
Organization SubpartNo
Authorized OfficialMichelle Lee HessOffice Manager · (276) 935-2677
Enumeration DateDecember 6, 2006
Last NPPES UpdateOctober 23, 2013
✔ NPI 1104985472 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.
1109 PLAZA DR STE 1, Grundy, VA 24614
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Other Identifiers 1

Medicare ID-Type UnspecifiedC08884VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Care Center Of Buchanan County, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Family Care Center Of Buchanan County, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Adam Stiltner, FNP-BC
Nurse Practitioner
NPI 1467791244
1109 PLAZA DR
Grundy, VA 24614
(276) 935-2677
✔ PECOS0.1 mi
Judy Street, FNP
Nurse Practitioner
NPI 1326004763
RT 460 EAST GRUNDY PLAZA FAMILY CARE CENTER
Grundy, VA 24614
(276) 935-2677
✔ PECOS1.7 mi
Mary Collins, NP
Nurse Practitioner
NPI 1376514117
185 REDWOOD AVE SUITE 102
Pennington Gap, VA 24277
(276) 546-5310
✔ PECOS62 mi

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 49D1012790

Family Care Center, LLC Of Buchanan County · Grundy, VA
Active · expires May 20, 2027
CLIA Number49D1012790
Laboratory TypePhysician Office
Certificate Effective DateMay 21, 2025
Certificate Expiration DateMay 20, 2027
Laboratory DirectorBrenda Goodman
Laboratory Phone(276) 935-2677
Laboratory LocationFamily Care Center, LLC Of Buchanan CountyGrundy Plaza - Route 460 East, Suite 1A, Grundy, VA 24614
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Family Care Center Of Buchanan County, LLC's NPI number?

The NPI number for Family Care Center Of Buchanan County, LLC is 1104985472. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Family Care Center Of Buchanan County, LLC located?

Family Care Center Of Buchanan County, LLC is located at 1109 Plaza Dr Ste 1 East Grundy Plaza, Grundy, VA 24614. The listed phone number is (276) 935-2677.

What is Family Care Center Of Buchanan County, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Family Care Center Of Buchanan County, LLC enrolled in Medicare?

Yes. Family Care Center Of Buchanan County, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Care Center Of Buchanan County, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Family Care Center Of Buchanan County, 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Care Center Of Buchanan County, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1012790) is associated with this NPI, valid through May 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Care Center Of Buchanan County, LLC was last updated on October 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.