CARILION CLINIC FAMILY & INTERNAL MEDICINE
NPI 1194340091
Clinic/Center - Rural Health in Martinsville, VA

Q: What is Carilion Healthcare Corporation's NPI number?

The NPI number for Carilion Healthcare Corporation is 1194340091. It was assigned to this organization in the NPPES registry on June 16, 2020.

Q: What is Carilion Healthcare Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since June 16, 2020CLIA 49D0908161 · Certificate of Compliance

1107A BROOKDALE ST, MARTINSVILLE, VA 24112(276) 670-3300 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 25, 2023, Aug 5, 2022, Jun 16, 2020 (3 updates tracked since 2020).

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About Carilion Clinic Family & Internal Medicine NPPES

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

CARILION CLINIC FAMILY & INTERNAL MEDICINE (NPI 1194340091) is a healthcare organization registered as a rural health in Martinsville, Virginia and active in the NPI registry since June 2020. The organization holds a CLIA Certificate of Compliance certificate valid through July 16, 2028 and lists Nicole Grisetti, Director Of Operational Support, as its authorized official.

NPPES Registry Identity

NPI1194340091

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameCARILION HEALTHCARE CORPORATION

Location Address1107A BROOKDALE STMartinsville, VA 24112-4501

Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5372 · Fax (540) 224-5684

Phone(276) 670-3300

Organization SubpartYes

Authorized OfficialNicole GrisettiDirector Of Operational Support · (540) 224-5352

Enumeration DateJune 16, 2020

Last NPPES UpdateMay 25, 20233 updates tracked since enumeration

NPPES CertifiedMay 25, 2023

✔ NPI 1194340091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

1107A BROOKDALE ST, Martinsville, VA 24112

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Other Names 1

Doing Business AsCarilion Clinic Family & Internal Medicine

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 Compliance 49D0908161

Carilion Clinic Fm & Im- Martinsville · Martinsville, VA

Active · expires Jul 16, 2028

CLIA Number49D0908161

Laboratory TypePhysician Office

Certificate Effective DateJuly 17, 2026

Certificate Expiration DateJuly 16, 2028

Laboratory DirectorWilliam Lewis

Laboratory Phone(276) 670-3313

Laboratory LocationCarilion Clinic Fm & Im- Martinsville1107A Brookdale Street, Martinsville, VA 24112

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 17

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

VALENICA EGGLESTON-CLARK MD

Family Medicine