VALDESE FAMILY PRACTICE, PA
NPI 1720104540
Family Medicine in Rutherford College, NC
About Valdese Family Practice, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VALDESE FAMILY PRACTICE, PA (NPI 1720104540) is a healthcare organization registered as a family medicine in Rutherford College, North Carolina and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through June 21, 2027 and lists Paula B Walker, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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)
Valdese Family Practice, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Valdese Family Practice, PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 for Provider-Performed Microscopy Procedures (PPMP) 34D0902537
Valdese Family Practice · Rutherford College, 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 Valdese Family Practice, PA's NPI number?
The NPI number for Valdese Family Practice, PA is 1720104540. It was assigned to this organization in the NPPES registry on March 22, 2007.
Where is Valdese Family Practice, PA located?
Valdese Family Practice, PA is located at 99 Griffin Street, Rutherford College, NC 28671. The listed phone number is (828) 874-1316.
What is Valdese Family Practice, PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Valdese Family Practice, PA enrolled in Medicare?
Yes. Valdese Family Practice, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Valdese Family Practice, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Valdese Family Practice, PA, 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Valdese Family Practice, PA hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0902537) is associated with this NPI, valid through June 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Valdese Family Practice, PA accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next list Valdese Family Practice, PA 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 Valdese Family Practice, PA was last updated on November 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Valdese Family Practice, Pa · NPI 1720104540
Family Medicine organization in Rutherford College, North Carolina. Organization record, active in the CMS NPPES registry since March 22, 2007.
## Identity
- **NPI:** 1720104540 (Entity type: Organization)
- **Enumerated:** March 22, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Paula Walker, OFFICE MANAGER
## Practice location
- **Address:** 99 GRIFFIN STREET, Rutherford College, NC 28671
- **Phone:** (828) 874-1316 · **Fax:** (828) 874-1092
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 7, 2012
- **Other identifiers:** Other 0195J (NC); Medicare PIN 2322339 (NC); Medicaid 890195J (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720104540) · Data from the CMS NPPES public registry.