GRAND VALLEY PRIMARY CARE III
NPI 1114564952
Family Medicine in Grand Jct, CO

Active since November 27, 2019CLIA 06D2074219 · Microscopy
2478 PATTERSON RD STE 27, GRAND JCT, CO 81505(970) 644-4300(970) 263-4323 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 12, 2021, Apr 24, 2020, Nov 27, 2019 (3 updates tracked since 2019).

About Grand Valley Primary Care Iii NPPES

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

GRAND VALLEY PRIMARY CARE III (NPI 1114564952) is a healthcare organization registered as a family medicine in Grand Jct, Colorado and active in the NPI registry since November 2019. The organization holds a CLIA Microscopy certificate valid through November 30, 2026, maintains a secondary practice location in Grand Junction, and lists Christian Thomas, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1114564952
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOMMUNITY MEDICAL GROUP, LLC
Location Address2478 PATTERSON RD STE 27Grand Jct, CO 81505-3606
Mailing AddressPo Box 1727Grand Junction, CO 81502-1727 · (970) 644-4300 · Fax (970) 263-4323
Fax(970) 263-4323
Organization SubpartNo
Authorized OfficialChristian ThomasPresident/ceo · (970) 644-3011
Enumeration DateNovember 27, 2019
Last NPPES UpdateApril 12, 20213 updates tracked since enumeration
NPPES CertifiedApril 12, 2021
✔ NPI 1114564952 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.
2478 PATTERSON RD STE 27, Grand Jct, CO 81505

Other Names 1

Doing Business AsGrand Valley Primary Care Iii

Secondary Practice Location 1

Location 12373 G Rd Ste 160Grand Junction, CO 81505-1003 · Phone (970) 644-4300 · Fax (970) 263-2692

Other Identifiers 1

Medicaid9000159153CO

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)

Grand Valley Primary Care Iii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

100

Medicare enrollment records show 100 clinicians reassign Medicare billing to Grand Valley Primary Care III, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 72 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 22

Nurse Practitioner26
Family Practice19
Internal Medicine10
Certified Registered Nurse Anesthetist (CRNA)8
Cardiovascular Disease (Cardiology)5
General Surgery5
Certified Nurse Midwife (CNM)4
Obstetrics/Gynecology4
14 other specialties19

Nearest to this location (20)

See all 100
Family Practice
NPI 1659958197
2478 PATTERSON RD STE 27
Grand Junction, CO 81505
(970) 644-4300
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1235797713
2478 PATTERSON RD STE 27
Grand Junction, CO 81505
(970) 644-4300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669032876
2503 FORESIGHT CIR UNIT B
Grand Junction, CO 81505
(970) 644-4030
✔ PECOS✔ Accepts Medicare0.2 mi
Cardiovascular Disease (Cardiology)
NPI 1962935734
2503 FORESIGHT CIR STE B
Grand Junction, CO 81505
(970) 644-4030
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1154915346
2503 FORESIGHT CIR UNIT B
Grand Junction, CO 81505
(906) 644-4030
✔ PECOS✔ Accepts Medicare0.2 mi
Orthopedic Surgery
NPI 1366478034
627 25 1/2 RD
Grand Junction, CO 81505
(970) 242-3535
✔ PECOS✔ Accepts Medicare0.7 mi
Obstetrics/Gynecology
NPI 1457663189
2373 G RD SUITE 240
Grand Junction, CO 81505
(970) 644-4400
✔ PECOS✔ Accepts Medicare1.4 mi
Otolaryngology
NPI 1700102027
2373 G RD
Grand Junction, CO 81505
(970) 644-3800
✔ PECOS✔ Accepts Medicare1.4 mi
Certified Nurse Midwife (CNM)
NPI 1639446339
2373 G RD SUITE 240
Grand Junction, CO 81505
(970) 263-7908
✔ PECOS1.4 mi
Nurse Practitioner
NPI 1255972139
688 23 1/2 RD STE 301
Grand Junction, CO 81505
(970) 644-4030
✔ PECOS✔ Accepts Medicare1.5 mi
Cardiovascular Disease (Cardiology)
NPI 1962446302
2643 PATTERSON RD SUITE 605
Grand Junction, CO 81506
(970) 244-2482
✔ PECOS✔ Accepts Medicare1.6 mi
Internal Medicine
NPI 1679993562
688 23 1/2 RD STE 303
Grand Junction, CO 81505
(970) 263-2680
✔ PECOS✔ Accepts Medicare1.9 mi
Family Practice
NPI 1083734313
1060 ORCHARD AVE UNIT N
Grand Junction, CO 81501
(970) 644-3740
✔ PECOS✔ Accepts Medicare2.2 mi
Infectious Disease
NPI 1306270004
2020 N 12TH ST
Grand Junction, CO 81501
(970) 243-9340
✔ PECOS✔ Accepts Medicare2.3 mi
Nephrology
NPI 1043298854
2748 CROSSROADS BLVD
Grand Junction, CO 81506
(970) 255-0919
✔ PECOS✔ Accepts Medicare3.2 mi
Mental Health Counselor
NPI 1821472028
2800 NORTH AVE FL 3
Grand Junction, CO 81501
(970) 241-6023
✔ PECOS✔ Accepts Medicare3.4 mi
Endocrinology
NPI 1508489121
603 28 1/4 RD
Grand Junction, CO 81506
(970) 644-4040
✔ PECOS✔ Accepts Medicare3.4 mi
Rheumatology
NPI 1962842955
603 28 1/4 RD
Grand Junction, CO 81506
(970) 644-3840
✔ PECOS✔ Accepts Medicare3.4 mi
Cardiac Surgery
NPI 1316979255
2373 G RD STE 160
Grand Junction, CO 81505
(970) 242-7292
✔ PECOS✔ Accepts Medicare4.1 mi
General Surgery
NPI 1487130670
2596 F RD
Grand Junction, CO 81505
(970) 254-3180
✔ PECOS✔ Accepts Medicare4.1 mi
See all 100 clinicians

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 for Provider-Performed Microscopy Procedures (PPMP) 06D2074219

Grand Valley Primary Care - 3 · Grand Junction, CO
Active · expires Nov 30, 2026
CLIA Number06D2074219
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorDr. Tiffany Smith
Laboratory Phone(970) 644-4300
Laboratory LocationGrand Valley Primary Care - 32478 Patterson,, Grand Junction, CO 81505
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Community Medical Group, LLC's NPI number?

The NPI number for Community Medical Group, LLC is 1114564952. It was assigned to this organization in the NPPES registry on November 27, 2019. The provider is doing business as Grand Valley Primary Care III.

Where is Community Medical Group, LLC located?

Community Medical Group, LLC is located at 2478 Patterson Rd Ste 27, Grand Jct, CO 81505. The listed phone number is (970) 644-4300.

What is Community Medical Group, LLC's specialty?

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

Is Community Medical Group, LLC enrolled in Medicare?

Yes. Community Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 100 clinicians in 22 Medicare specialties reassign their Medicare billing to Community Medical Group, 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. The largest specialties are Nurse Practitioner (26), Family Practice (19) and Internal Medicine (10). Of these, 2 practice at this address and 72 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Community Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D2074219) is associated with this NPI, valid through November 30, 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 Community Medical Group, LLC was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.