MAIN STREET FAMILY PRACTICE OF CHINA GROVE PC
NPI 1619279247
Family Medicine in China Grove, NC
About Main Street Family Practice Of China Grove Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAIN STREET FAMILY PRACTICE OF CHINA GROVE PC (NPI 1619279247) is a healthcare organization registered as a family medicine in China Grove, North Carolina and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through February 8, 2027 and lists Kim Purcell-reid, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Main Street Family Practice Of China Grove Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Main Street Family Practice Of China Grove PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 34D2019909
Main Street Family Practice Of China Grove PC · China Grove, NCFrequently 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 Main Street Family Practice Of China Grove PC's NPI number?
The NPI number for Main Street Family Practice Of China Grove PC is 1619279247. It was assigned to this organization in the NPPES registry on December 2, 2010.
Where is Main Street Family Practice Of China Grove PC located?
Main Street Family Practice Of China Grove PC is located at 302 S Main St, China Grove, NC 28023. The listed phone number is (704) 857-8769.
What is Main Street Family Practice Of China Grove PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Main Street Family Practice Of China Grove PC enrolled in Medicare?
Yes. Main Street Family Practice Of China Grove PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Main Street Family Practice Of China Grove PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Main Street Family Practice Of China Grove PC, 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Main Street Family Practice Of China Grove PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2019909) is associated with this NPI, valid through February 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Main Street Family Practice Of China Grove PC accept?
Health plans from Blue Cross and Blue Shield of NC list Main Street Family Practice Of China Grove PC 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 Main Street Family Practice Of China Grove PC was last updated on December 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Main Street Family Practice Of China Grove Pc · NPI 1619279247
Family Medicine organization in China Grove, North Carolina. Organization record, active in the CMS NPPES registry since December 2, 2010.
## Identity
- **NPI:** 1619279247 (Entity type: Organization)
- **Enumerated:** December 2, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Kim Purcell-Reid, OWNER
## Practice location
- **Address:** 302 S MAIN ST, China Grove, NC 28023-2471
- **Phone:** (704) 857-8769 · **Fax:** (704) 857-8779
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (2); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 2, 2010
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619279247) · Data from the CMS NPPES public registry.