NEW RIVER MEDICAL GROUP, LLC
NPI 1235468323
Family Medicine in Pulaski, VA

Active since December 18, 2009CLIA 49D0674758 · Waiver
101 1ST ST NW, PULASKI, VA 24301(540) 980-0550(540) 980-5010 Get Directions Write a Review

NPPES record last updated: December 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About New River Medical Group, Llc NPPES

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

NEW RIVER MEDICAL GROUP, LLC (NPI 1235468323) is a healthcare organization registered as a family medicine in Pulaski, Virginia and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through December 1, 2027 and lists Carolyn P. Gardner, Insurance Clerk, as its authorized official.

NPPES Registry Identity

NPI1235468323
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNEW RIVER MEDICAL GROUP, LLC
Location Address101 1ST ST NWPulaski, VA 24301-1641
Mailing AddressP.o. Box 1641, 101 1st St. NwPulaski, VA 24301-1641 · (540) 980-0550 · Fax (540) 980-5010
Fax(540) 980-5010
Organization SubpartNo
Authorized OfficialCarolyn P. GardnerInsurance Clerk · (540) 980-0550
Enumeration DateDecember 18, 2009
NPI 1235468323 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.
101 1ST ST NW, Pulaski, VA 24301

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 49D0674758

New River Medical Group LLC · Pulaski, VA
Active · expires Dec 1, 2027
CLIA Number49D0674758
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorMatthew Kaatz
Laboratory Phone(540) 980-0550
Laboratory LocationNew River Medical Group LLC101 1st St NW PO Box 1641, Pulaski, VA 24301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Family)
101 1ST ST NW
PULASKI, VA 24301
Family Medicine
101 1ST ST NW
PULASKI, VA 24301
Family Medicine
101 1ST ST NW
PULASKI, VA 24301
Chiropractor
101 1ST ST NW, SUITE 1B
PULASKI, VA 24301
Surgery
101 1ST ST NW
PULASKI, VA 24301
Obstetrics & Gynecology
101 1ST ST NW, SUITE 1
PULASKI, VA 24301
Family Medicine
101 1ST ST NW
PULASKI, VA 24301
Surgery
101 1ST ST NW
PULASKI, VA 24301

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 New River Medical Group, LLC's NPI number?

The NPI number for New River Medical Group, LLC is 1235468323. It was assigned to this organization in the NPPES registry on December 18, 2009.

Where is New River Medical Group, LLC located?

New River Medical Group, LLC is located at 101 1st St NW, Pulaski, VA 24301. The listed phone number is (540) 980-0550.

What is New River Medical Group, LLC's specialty?

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

Does New River Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0674758) is associated with this NPI, valid through December 1, 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 New River Medical Group, LLC was last updated on December 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.