RIDGELINE HEALTHCARE LLC
NPI 1710821616
Family Medicine in Grundy, VA

Active since April 20, 2026CLIA 49D2342760 · Waiver
21052 RIVERSIDE DR STE 4, GRUNDY, VA 24614(276) 312-5693 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 6, 2026, Apr 20, 2026 (2 updates tracked since 2026).

About Ridgeline Healthcare Llc NPPES

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

RIDGELINE HEALTHCARE LLC (NPI 1710821616) is a healthcare organization registered as a family medicine in Grundy, Virginia and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists Alyson Paige Meadows, Fnp, as its authorized official.

NPPES Registry Identity

NPI1710821616
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRIDGELINE HEALTHCARE LLC
Location Address21052 RIVERSIDE DR STE 4Grundy, VA 24614-9208
Mailing Address21052 Riverside Dr Ste 4Grundy, VA 24614-9208 · (276) 312-5693
Organization SubpartNo
Authorized OfficialAlyson Paige MeadowsFnp · (276) 312-5693
Enumeration DateApril 20, 2026
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1710821616 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.
21052 RIVERSIDE DR STE 4, Grundy, VA 24614

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ridgeline Healthcare 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 Ridgeline Healthcare LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1902795552
21052 RIVERSIDE DR STE 4
Grundy, VA 24614
(276) 282-8810
✔ PECOSSame 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 49D2342760

Ridgeline Healthcare LLC · Grundy, VA
Active · expires Apr 26, 2028
CLIA Number49D2342760
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorAlyson Meadows
Laboratory Phone(276) 202-2794
Laboratory LocationRidgeline Healthcare LLC21052 Riderside Drive Suite #4, Grundy, VA 24614
CLIA data matches this NPI record on: 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 Ridgeline Healthcare LLC's NPI number?

The NPI number for Ridgeline Healthcare LLC is 1710821616. It was assigned to this organization in the NPPES registry on April 20, 2026.

Where is Ridgeline Healthcare LLC located?

Ridgeline Healthcare LLC is located at 21052 Riverside Dr Ste 4, Grundy, VA 24614. The listed phone number is (276) 312-5693.

What is Ridgeline Healthcare LLC's specialty?

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

Is Ridgeline Healthcare LLC enrolled in Medicare?

Yes. Ridgeline Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ridgeline Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ridgeline Healthcare 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ridgeline Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2342760) is associated with this NPI, valid through April 26, 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 Ridgeline Healthcare LLC was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.