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MAIN STREET FAMILY PRACTICE OF CHINA GROVE PC
NPI 1619279247
Family Medicine in China Grove, NC

Active since December 02, 2010CLIA 34D2019909 · Waiver
302 S MAIN ST, CHINA GROVE, NC 28023(704) 857-8769(704) 857-8779 Get Directions Write a Review

NPPES record last updated: December 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1619279247
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAIN STREET FAMILY PRACTICE OF CHINA GROVE PC
Location Address302 S MAIN STChina Grove, NC 28023-2471
Mailing Address302 S Main StChina Grove, NC 28023-2471 · (704) 857-8769 · Fax (704) 857-8779
Phone(704) 857-8769
Fax(704) 857-8779
Organization SubpartNo
Authorized OfficialKim Purcell-reidOwner · (704) 857-8769
Enumeration DateDecember 2, 2010
✔ NPI 1619279247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
302 S MAIN ST, China Grove, NC 28023
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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

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, NC
Active · expires Feb 8, 2027
CLIA Number34D2019909
Laboratory TypePhysician Office
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorOrrin A. Walker
Laboratory Phone(704) 857-8769
Laboratory LocationMain Street Family Practice Of China Grove PC302 S Main Street, China Grove, NC 28023
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ORRIN ABRAHAM WALKER MD
Family Medicine
302 S MAIN ST
CHINA GROVE, NC 28023
Rowan County (704) 857-8769
MS. KIM PURCELL-REID PA C
Family Medicine
302 S MAIN ST
CHINA GROVE, NC 28023
Rowan County (704) 857-8769
MRS. HEATHER T ANDERSON N.P.
Nurse Practitioner (Family)
302 S MAIN ST
CHINA GROVE, NC 28023
Rowan County (704) 857-8769
MAEGHAN MICHELLE SMITH NP-C
Nurse Practitioner (Family)
302 S MAIN ST
CHINA GROVE, NC 28023
Rowan County (704) 857-8769

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 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.

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.

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.