EXPERIENCED CARE CLINIC INC.
NPI 1285079558
Nurse Practitioner - Family in Pound, VA

Active since May 01, 2013

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Experienced Care Clinic Inc. NPPES

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

EXPERIENCED CARE CLINIC INC. (NPI 1285079558) is a healthcare organization registered as a family in Pound, Virginia and active in the NPI registry since May 2013. The organization lists Tammy Branham, Owner, as its authorized official.

NPPES Registry Identity

NPI1285079558
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameEXPERIENCED CARE CLINIC INC.
Location Address8008 MAIN STPound, VA 24279-0000
Mailing AddressPo Box 908Pound, VA 24279-0908
Organization SubpartNo
Authorized OfficialTammy BranhamOwner · (276) 393-8284
Enumeration DateMay 1, 2013
Last NPPES UpdateSeptember 11, 2024
NPPES CertifiedSeptember 4, 2024
✔ NPI 1285079558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
8008 MAIN ST, Pound, VA 24279

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Experienced Care Clinic Inc. 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 Experienced Care Clinic Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1518218528
163 WILLIS LN
Clintwood, VA 24228
(276) 926-2254
✔ PECOS✔ Accepts Medicare6.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Experienced Care Clinic Inc.'s NPI number?

The NPI number for Experienced Care Clinic Inc. is 1285079558. It was assigned to this organization in the NPPES registry on May 1, 2013.

Where is Experienced Care Clinic Inc. located?

Experienced Care Clinic Inc. is located at 8008 Main St, Pound, VA 24279. The listed phone number is (276) 796-4586.

What is Experienced Care Clinic Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Experienced Care Clinic Inc. enrolled in Medicare?

Yes. Experienced Care Clinic Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Experienced Care Clinic Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Experienced Care Clinic Inc.. 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.

When was this NPI record last updated?

The NPPES record for Experienced Care Clinic Inc. was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.