BAY MEDICAL & WELLNESS, LLC
NPI 1134735905
Clinic/Center - Primary Care in Saluda, VA

Active since September 17, 2020CLIA 49D2210562 · Waiver
13794 TIDEWATER TRL, SALUDA, VA 23149(804) 586-3700 Get Directions Write a Review

NPPES record last updated: July 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 24, 2021, Oct 18, 2020, Sep 17, 2020 (3 updates tracked since 2020).

About Bay Medical & Wellness, Llc NPPES

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

BAY MEDICAL & WELLNESS, LLC (NPI 1134735905) is a healthcare organization registered as a primary care in Saluda, Virginia and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through January 21, 2027 and lists Shannon Lee Stone, Family Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1134735905
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBAY MEDICAL & WELLNESS, LLC
Location Address13794 TIDEWATER TRLSaluda, VA 23149-2314
Mailing AddressPo Box 95Hartfield, VA 23071-0095
Organization SubpartNo
Authorized OfficialShannon Lee StoneFamily Nurse Practitioner/owner · (804) 286-9377
Enumeration DateSeptember 17, 2020
Last NPPES UpdateJuly 24, 20213 updates tracked since enumeration
NPPES CertifiedJuly 24, 2021
✔ NPI 1134735905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
13794 TIDEWATER TRL, Saluda, VA 23149

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bay Medical & Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bay Medical & Wellness, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1689066292
13794 TIDEWATER TRAIL
Saluda, VA 23149
(804) 286-9377
✔ PECOS✔ Accepts MedicareSame address

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 49D2210562

Bay Medical & Wellness, LLC · Saluda, VA
Active · expires Jan 21, 2027
CLIA Number49D2210562
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorShannon L. Stone
Laboratory Phone(804) 286-9377
Laboratory LocationBay Medical & Wellness, LLC13794 Tidewater Trail, Saluda, VA 23149
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 Bay Medical & Wellness, LLC's NPI number?

The NPI number for Bay Medical & Wellness, LLC is 1134735905. It was assigned to this organization in the NPPES registry on September 17, 2020.

Where is Bay Medical & Wellness, LLC located?

Bay Medical & Wellness, LLC is located at 13794 Tidewater Trl, Saluda, VA 23149. The listed phone number is (804) 586-3700.

What is Bay Medical & Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Bay Medical & Wellness, LLC enrolled in Medicare?

Yes. Bay Medical & Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bay Medical & Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Bay Medical & Wellness, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bay Medical & Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2210562) is associated with this NPI, valid through January 21, 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 Bay Medical & Wellness, LLC was last updated on July 24, 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.