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TOX SISTERS LLC
NPI 1386506301
Clinic/Center in Grundy, VA

Active since November 28, 2025CLIA 49D2336801 · Waiver
21956 RIVERSIDE DR STE 7, GRUNDY, VA 24614(276) 285-8764 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 22, 2026, Nov 28, 2025 (2 updates tracked since 2025).

About Tox Sisters Llc NPPES

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

TOX SISTERS LLC (NPI 1386506301) is a healthcare organization registered as a clinic/center in Grundy, Virginia and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through January 10, 2028 and lists Samantha Fraley, Owner, as its authorized official.

NPPES Registry Identity

NPI1386506301
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTOX SISTERS LLC
Location Address21956 RIVERSIDE DR STE 7Grundy, VA 24614-9400
Mailing Address21956 Riverside Dr Ste 7Grundy, VA 24614-9400 · (276) 285-8764 · Fax (276) 312-8008
Phone(276) 285-8764
Organization SubpartNo
Authorized OfficialSamantha FraleyOwner · (276) 285-8764
Enumeration DateNovember 28, 2025
Last NPPES UpdateJanuary 22, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1386506301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
21956 RIVERSIDE DR STE 7, Grundy, VA 24614
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tox Sisters Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Tox Sisters LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Samantha Fraley
Nurse Practitioner
NPI 1154133676
21956 RIVERSIDE DR STE 7
Grundy, VA 24614
(276) 285-8764
✔ PECOS✔ Accepts MedicareSame address
Savannah Stiltner
Nurse Practitioner
NPI 1518779842
21956 RIVERSIDE DR STE 7
Grundy, VA 24614
(276) 285-8764
✔ 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 49D2336801

Tox Sisters LLC · Grundy, VA
Active · expires Jan 10, 2028
CLIA Number49D2336801
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 11, 2026
Certificate Expiration DateJanuary 10, 2028
Laboratory DirectorSamantha R. Fraley
Laboratory Phone(276) 285-8764
Laboratory LocationTox Sisters LLC21956 Riverside Drive Suite 7, Grundy, VA 24614
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 Tox Sisters LLC's NPI number?

The NPI number for Tox Sisters LLC is 1386506301. It was assigned to this organization in the NPPES registry on November 28, 2025.

Where is Tox Sisters LLC located?

Tox Sisters LLC is located at 21956 Riverside Dr Ste 7, Grundy, VA 24614. The listed phone number is (276) 285-8764.

What is Tox Sisters LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Tox Sisters LLC enrolled in Medicare?

Yes. Tox Sisters LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tox Sisters LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Tox Sisters 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tox Sisters LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2336801) is associated with this NPI, valid through January 10, 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 Tox Sisters LLC was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.