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FAMILY HEALTHCARE OF WYTHEVILLE, PC
NPI 1346474707
Family Medicine in Wytheville, VA

Active since May 13, 2009CLIA 49D1102718 · Waiver
1040 HOLSTON RD, WYTHEVILLE, VA 24382(276) 227-0200(276) 227-0202 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 2, 2021, Feb 12, 2021 (2 updates tracked since 2021).

About Family Healthcare Of Wytheville, Pc NPPES

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

FAMILY HEALTHCARE OF WYTHEVILLE, PC (NPI 1346474707) is a healthcare organization registered as a family medicine in Wytheville, Virginia and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through March 18, 2028 and lists Larissa Shae Parks, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1346474707
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY HEALTHCARE OF WYTHEVILLE, PC
Location Address1040 HOLSTON RDWytheville, VA 24382-4107
Mailing Address1040 Holston RdWytheville, VA 24382-4107 · (276) 227-0200 · Fax (276) 227-0202
Phone(276) 227-0200
Fax(276) 227-0202
Organization SubpartNo
Authorized OfficialLarissa Shae ParksOffice Manager · (276) 227-0200
Enumeration DateMay 13, 2009
Last NPPES UpdateMarch 2, 20212 updates tracked since enumeration
NPPES CertifiedMarch 2, 2021
✔ NPI 1346474707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0102202346
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.
1040 HOLSTON RD, Wytheville, VA 24382
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Other Identifiers 1

Medicaid1346474707VA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Healthcare Of Wytheville, Pc 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 Family Healthcare Of Wytheville, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Harkless, D.O.
Family Practice
NPI 1083870455
1040 HOLSTON RD
Wytheville, VA 24382
(276) 227-0200
✔ 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 49D1102718

Family Healthcare Of Wytheville, PC · Wytheville, VA
Active · expires Mar 18, 2028
CLIA Number49D1102718
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorJohn M. Harkless, Do
Laboratory Phone(276) 227-0200
Laboratory LocationFamily Healthcare Of Wytheville, PC1040 Holston Road, Wytheville, VA 24382
CLIA data matches this NPI record on: Address 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 Family Healthcare Of Wytheville, PC's NPI number?

The NPI number for Family Healthcare Of Wytheville, PC is 1346474707. It was assigned to this organization in the NPPES registry on May 13, 2009.

Where is Family Healthcare Of Wytheville, PC located?

Family Healthcare Of Wytheville, PC is located at 1040 Holston Rd, Wytheville, VA 24382. The listed phone number is (276) 227-0200.

What is Family Healthcare Of Wytheville, PC's specialty?

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

Is Family Healthcare Of Wytheville, PC enrolled in Medicare?

Yes. Family Healthcare Of Wytheville, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Healthcare Of Wytheville, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Family Healthcare Of Wytheville, PC. 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 Family Healthcare Of Wytheville, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1102718) is associated with this NPI, valid through March 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Healthcare Of Wytheville, PC was last updated on March 2, 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.