VALLEY MEDICAL CARE LLC
NPI 1417376195
Pediatrics in Jasper, TN
About Valley Medical Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VALLEY MEDICAL CARE LLC (NPI 1417376195) is a healthcare organization registered as a pediatrics in Jasper, Tennessee and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through December 6, 2026, maintains 2 additional practice locations, and lists Arif Shafi, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 2
Group Practice 1
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)
Valley Medical Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Valley Medical Care LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 44D0309627
Valley Medical Care LLC · Jasper, TNFrequently 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 Valley Medical Care LLC's NPI number?
The NPI number for Valley Medical Care LLC is 1417376195. It was assigned to this organization in the NPPES registry on April 10, 2014.
Where is Valley Medical Care LLC located?
Valley Medical Care LLC is located at 980 Highway 28 Suite 100, Jasper, TN 37347. The listed phone number is (423) 939-1500.
What is Valley Medical Care LLC's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Valley Medical Care LLC enrolled in Medicare?
Yes. Valley Medical Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Valley Medical Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Valley Medical Care 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. The largest specialties are Nurse Practitioner (4), Family Practice (1) and Pediatric Medicine (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Valley Medical Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D0309627) is associated with this NPI, valid through December 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Valley Medical Care LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Valley Medical Care LLC 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 Valley Medical Care LLC was last updated on July 2, 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.
# Valley Medical Care Llc · NPI 1417376195
Pediatrics organization in Jasper, Tennessee. Organization record, active in the CMS NPPES registry since April 10, 2014.
## Identity
- **NPI:** 1417376195 (Entity type: Organization)
- **Enumerated:** April 10, 2014
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Arif Shafi, OWNER
## Practice location
- **Address:** 980 HIGHWAY 28, SUITE 100, Jasper, TN 37347-3695
- **Phone:** (423) 939-1500 · **Fax:** (423) 939-1503
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (1), Pediatric Medicine (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 2, 2024
- **Other identifiers:** Medicaid 161481 (AL); Medicaid Q012469 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417376195) · Data from the CMS NPPES public registry.