CLINCH VALLEY UROLOGY, LLC
NPI 1114955168
Urology in Richlands, VA

Active since June 29, 2006CLIA 49D1065456 · Waiver
6719 GOV G. C. PEERY HWY, SUITE 1800, RICHLANDS, VA 24641(276) 596-6659(276) 596-6658 Get Directions Write a Review

NPPES record last updated: April 14, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clinch Valley Urology, Llc NPPES

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

CLINCH VALLEY UROLOGY, LLC (NPI 1114955168) is a healthcare organization registered as an urology in Richlands, Virginia and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through February 28, 2027 and lists Jess Judy, President, as its authorized official.

NPPES Registry Identity

NPI1114955168
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameCLINCH VALLEY UROLOGY, LLC
Location Address6719 GOV G. C. PEERY HWY, SUITE 1800Richlands, VA 24641-2055
Mailing Address6719 Gov G. C. Peery Hwy, Suite 3650Richlands, VA 24641-2055 · (276) 596-6773 · Fax (866) 803-1898
Fax(276) 596-6658
Organization SubpartNo
Authorized OfficialJess JudyPresident · (615) 565-1508
Enumeration DateJune 29, 2006
Last NPPES UpdateApril 14, 2010
NPI 1114955168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

6719 GOV G. C. PEERY HWY, Richlands, VA 24641

Other Identifiers 2

Medicare PINC09046VA
Medicaid1114955168VA

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

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 49D1065456

Clinch Valley Urology, LLC Clinch Valley Medical Center · Richlands, VA
Active · expires Feb 28, 2027
CLIA Number49D1065456
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorHao D. Pham
Laboratory Phone(276) 596-6659
Laboratory LocationClinch Valley Urology, LLC Clinch Valley Medical Center6719 Gov G C Perry Hwy Suite 1800, Richlands, VA 24641
CLIA data matches this NPI record on: Name 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.

Surgery
6719 GOV G. C. PEERY HWY, SUITE 3650
RICHLANDS, VA 24641
Nurse Practitioner (Family)
6719 GOV G. C. PEERY HWY, SUITE 1800
RICHLANDS,, VA 24641

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 Clinch Valley Urology, LLC's NPI number?

The NPI number for Clinch Valley Urology, LLC is 1114955168. It was assigned to this organization in the NPPES registry on June 29, 2006.

Where is Clinch Valley Urology, LLC located?

Clinch Valley Urology, LLC is located at 6719 Gov G. C. Peery Hwy Suite 1800, Richlands, VA 24641. The listed phone number is (276) 596-6659.

What is Clinch Valley Urology, LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Clinch Valley Urology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1065456) is associated with this NPI, valid through February 28, 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 Clinch Valley Urology, LLC was last updated on April 14, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.