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VALLEY MEDICAL
NPI 1811631518
Nurse Practitioner - Family in Jacksboro, TN

Active since April 27, 2022CLIA 44D2258618 · Waiver
2545 JACKSBORO PIKE, JACKSBORO, TN 37757(423) 352-6090(423) 352-6152 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1811631518
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVALLEY MEDICAL
Location Address2545 JACKSBORO PIKEJacksboro, TN 37757-4847
Mailing Address2545 Jacksboro PikeJacksboro, TN 37757-4847 · (423) 352-6090 · Fax (423) 352-6152
Phone(423) 352-6090
Fax(423) 352-6152
Organization SubpartNo
Authorized OfficialSandra BondOwner, Np · (423) 352-6090
Enumeration DateApril 27, 2022
NPPES CertifiedApril 27, 2022
✔ NPI 1811631518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2545 JACKSBORO PIKE, Jacksboro, TN 37757
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Other Names 1

Doing Business AsValley Medical

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 MULTIPLE SINGLE SPECIALTY GROUP

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, TN
Active · expires Apr 24, 2028
CLIA Number44D2258618
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2026
Certificate Expiration DateApril 24, 2028
Laboratory DirectorSandra R. Bond
Laboratory Phone(423) 352-6090
Laboratory LocationValley Medical2545 Jacksboro Pike, Jacksboro, TN 37757
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENT WEBB D.O.
Family Medicine
2545 JACKSBORO PIKE
JACKSBORO, TN 37757
Campbell County (423) 566-8181
RICHARD R BURDEAUX SR. DO
Family Medicine
2545 JACKSBORO PIKE
JACKSBORO, TN 37757
Campbell County (423) 566-8181
TONYA L. DAVIS FNP
Nurse Practitioner (Family)
2545 JACKSBORO PIKE
JACKSBORO, TN 37757
Campbell County (423) 566-8181
DR. THOMAS WAYNE ROBBINS DO
Family Medicine
2545 JACKSBORO PIKE
JACKSBORO, TN 37757
Campbell County (423) 566-8181

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 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.

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.