COMMUNITY MEDICAL, P.A.
NPI 1396935193
Family Medicine in Marshville, NC

Active since July 27, 2007CLIA 34D0681846 · Microscopy
520 W MAIN ST, MARSHVILLE, NC 28103(704) 624-3388(704) 624-3390 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Community Medical, P.a. NPPES

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

COMMUNITY MEDICAL, P.A. (NPI 1396935193) is a healthcare organization registered as a family medicine in Marshville, North Carolina and active in the NPI registry since July 2007. The organization holds a CLIA Microscopy certificate valid through March 14, 2027 and lists Brandi Selina Queen, President, as its authorized official.

NPPES Registry Identity

NPI1396935193
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOMMUNITY MEDICAL, P.A.
Location Address520 W MAIN STMarshville, NC 28103-1197
Mailing Address520 W Main StMarshville, NC 28103-1197 · (704) 624-3388 · Fax (704) 624-3390
Fax(704) 624-3390
Organization SubpartNo
Authorized OfficialBrandi Selina QueenPresident · (704) 292-0708
Enumeration DateJuly 27, 2007
Last NPPES UpdateApril 30, 2024
NPPES CertifiedApril 30, 2024
✔ NPI 1396935193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License 32725 (NC)
520 W MAIN ST, Marshville, NC 28103

Other Identifiers 2

Medicaid890132JNC
Other0132JBcbs

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Community Medical, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Community Medical, P.A., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1063106284
520 W MAIN ST
Marshville, NC 28103
(704) 624-3388
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1558670604
520 W MAIN ST
Marshville, NC 28103
(704) 624-3388
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1538164074
1612 LEVEL STREAM RD
Wendell, NC 27591
(252) 347-4915
✔ PECOS✔ Accepts Medicare123 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 34D0681846

Community Medical PA · Marshville, NC
Active · expires Mar 14, 2027
CLIA Number34D0681846
Laboratory TypePhysician Office
Certificate Effective DateMarch 15, 2025
Certificate Expiration DateMarch 14, 2027
Laboratory DirectorBrandi S. Queen
Laboratory Phone(704) 624-3388
Laboratory LocationCommunity Medical PA520 West Main St, Marshville, NC 28103
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Community Medical, P.A.'s NPI number?

The NPI number for Community Medical, P.A. is 1396935193. It was assigned to this organization in the NPPES registry on July 27, 2007.

Where is Community Medical, P.A. located?

Community Medical, P.A. is located at 520 W Main St, Marshville, NC 28103. The listed phone number is (704) 624-3388.

What is Community Medical, P.A.'s specialty?

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

Is Community Medical, P.A. enrolled in Medicare?

Yes. Community Medical, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Medical, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Community Medical, P.A., in Family Practice and Nurse Practitioner. 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 Community Medical, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0681846) is associated with this NPI, valid through March 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Community Medical, P.A. accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Community Medical, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Community Medical, P.A. was last updated on April 30, 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.