DR. JON'S URGENT CARE CENTER, LLC
NPI 1639403769
General Practice in Martinsville, VA
About Dr. Jon's Urgent Care Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JON'S URGENT CARE CENTER, LLC (NPI 1639403769) is a healthcare organization registered as a general practice in Martinsville, Virginia and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through March 31, 2028 and lists Jon Peterson, Director/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jon's Urgent Care Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Dr. Jon's Urgent Care Center, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 49D2002394
Dr Jons Urgent Care, PC · Martinsville, VAFrequently 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 Dr. Jon's Urgent Care Center, LLC's NPI number?
The NPI number for Dr. Jon's Urgent Care Center, LLC is 1639403769. It was assigned to this organization in the NPPES registry on September 22, 2009.
Where is Dr. Jon's Urgent Care Center, LLC located?
Dr. Jon's Urgent Care Center, LLC is located at 2871 Greensboro Rd, Martinsville, VA 24112. The listed phone number is (276) 638-2273.
What is Dr. Jon's Urgent Care Center, LLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Dr. Jon's Urgent Care Center, LLC enrolled in Medicare?
Yes. Dr. Jon's Urgent Care Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dr. Jon's Urgent Care Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Dr. Jon's Urgent Care Center, 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 (7), Emergency Medicine (1) and Preventive Medicine (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dr. Jon's Urgent Care Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2002394) is associated with this NPI, valid through March 31, 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 Dr. Jon's Urgent Care Center, LLC was last updated on July 3, 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.
# Dr. Jon's Urgent Care Center, Llc · NPI 1639403769
General Practice organization in Martinsville, Virginia. Organization record, active in the CMS NPPES registry since September 22, 2009.
## Identity
- **NPI:** 1639403769 (Entity type: Organization)
- **Enumerated:** September 22, 2009
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Jon Peterson, DIRECTOR/OWNER
## Practice location
- **Address:** 2871 GREENSBORO RD, Martinsville, VA 24112-8108
- **Phone:** (276) 638-2273 · **Fax:** (276) 638-2250
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Emergency Medicine (1), Preventive Medicine (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 3, 2024
- **Other identifiers:** Medicaid 1639403769 (VA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639403769) · Data from the CMS NPPES public registry.