PERFORMANCE MEDICINE OF SOUTHWEST VIRGINIA, LLC
NPI 1679905467
Family Medicine in Salem, VA

Q: What is Performance Medicine Of Southwest's NPI number?

The NPI number for Performance Medicine Of Southwest is 1679905467. It was assigned to this organization in the NPPES registry on August 2, 2013. The provider is doing business as Performance Medicine Of Southwest Virginia, LLC.

Q: What is Performance Medicine Of Southwest's specialty?

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

Active since August 02, 2013CLIA 49D2072728 · Waiver

25 W CALHOUN ST, SALEM, VA 24153(540) 772-1890(540) 772-1893 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Performance Medicine Of Southwest Virginia, Llc NPPES

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

PERFORMANCE MEDICINE OF SOUTHWEST VIRGINIA, LLC (NPI 1679905467) is a healthcare organization registered as a family medicine in Salem, Virginia and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through February 3, 2028 and lists Delmas J Bolin, President, as its authorized official.

NPPES Registry Identity

NPI1679905467

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePERFORMANCE MEDICINE OF SOUTHWEST

Location Address25 W CALHOUN STSalem, VA 24153-3836

Mailing Address25 W Calhoun StSalem, VA 24153-3836 · (540) 772-1890 · Fax (540) 772-1893

Phone(540) 772-1890

Fax(540) 772-1893

Organization SubpartNo

Authorized OfficialDelmas J BolinPresident · (540) 772-1890

Enumeration DateAugust 2, 2013

Last NPPES UpdateMay 23, 2024

NPPES CertifiedMay 23, 2024

✔ NPI 1679905467 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 ListedPhysical Medicine & Rehabilitation · Sports MedicineTaxonomy 2081S0010X

25 W CALHOUN ST, Salem, VA 24153

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Other Names 1

Doing Business AsPerformance Medicine Of Southwest Virginia, Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Performance Medicine Of Southwest Virginia, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Performance Medicine Of Southwest Virginia, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Delmas Bolin, M.D.

Family Practice

NPI 1548237993

25 W CALHOUN ST
Salem, VA 24153

(540) 772-1890

✔ PECOS✔ Accepts MedicareSame address

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 49D2072728

Performance Medicine Of Southwest Virginia · Salem, VA

Active · expires Feb 3, 2028

CLIA Number49D2072728

Laboratory TypePhysician Office

Certificate Effective DateFebruary 4, 2026

Certificate Expiration DateFebruary 3, 2028

Laboratory DirectorDelmas Bolin

Laboratory Phone(540) 777-0866

Laboratory LocationPerformance Medicine Of Southwest Virginia25 West Calhoun Street, Salem, VA 24153

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only 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 Performance Medicine Of Southwest's NPI number?

The NPI number for Performance Medicine Of Southwest is 1679905467. It was assigned to this organization in the NPPES registry on August 2, 2013. The provider is doing business as Performance Medicine Of Southwest Virginia, LLC.

Where is Performance Medicine Of Southwest located?

Performance Medicine Of Southwest is located at 25 W Calhoun St, Salem, VA 24153. The listed phone number is (540) 772-1890.

What is Performance Medicine Of Southwest's specialty?

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

Is Performance Medicine Of Southwest enrolled in Medicare?

Yes. Performance Medicine Of Southwest is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Performance Medicine Of Southwest?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Performance Medicine Of Southwest. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Performance Medicine Of Southwest hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2072728) is associated with this NPI, valid through February 3, 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 Performance Medicine Of Southwest was last updated on May 23, 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.