VALLEY MEDICAL
NPI 1811631518
Nurse Practitioner - Family in Jacksboro, TN
About Valley Medical NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VALLEY MEDICAL (NPI 1811631518) is a healthcare organization registered as a family in Jacksboro, Tennessee and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through April 24, 2028 and lists Sandra Bond, Owner, Np, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Valley Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Valley Medical, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 44D2258618
Valley Medical · Jacksboro, TNFrequently 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 Valley Medical's NPI number?
The NPI number for Valley Medical is 1811631518. It was assigned to this organization in the NPPES registry on April 27, 2022.
Where is Valley Medical located?
Valley Medical is located at 2545 Jacksboro Pike, Jacksboro, TN 37757. The listed phone number is (423) 352-6090.
What is Valley Medical's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Valley Medical enrolled in Medicare?
Yes. Valley Medical is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Valley Medical?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Valley Medical. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Valley Medical hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2258618) is associated with this NPI, valid through April 24, 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 Valley Medical was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Valley Medical · NPI 1811631518
Family organization in Jacksboro, Tennessee. Organization record, active in the CMS NPPES registry since April 27, 2022.
## Identity
- **NPI:** 1811631518 (Entity type: Organization)
- **Enumerated:** April 27, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Also known as:** Valley Medical (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Sandra Bond, OWNER, NP
## Practice location
- **Address:** 2545 JACKSBORO PIKE, Jacksboro, TN 37757-4847
- **Phone:** (423) 352-6090 · **Fax:** (423) 352-6152
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 27, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1811631518) · Data from the CMS NPPES public registry.