WILDWOOD MEDICAL CLINIC
NPI 1881704997
Family Medicine in Henrico, NC
About Wildwood Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILDWOOD MEDICAL CLINIC (NPI 1881704997) is a healthcare organization registered as a family medicine in Henrico, North Carolina and active in the NPI registry since August 2006. The organization lists Russ Gardner, Clinics Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
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)
Wildwood Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Wildwood Medical Clinic, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Roanoke Valley Health Services Inc's NPI number?
The NPI number for Roanoke Valley Health Services Inc is 1881704997. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is doing business as Wildwood Medical Clinic.
Where is Roanoke Valley Health Services Inc located?
Roanoke Valley Health Services Inc is located at 2053 River Road, Henrico, NC 27842. The listed phone number is (252) 537-9400.
What is Roanoke Valley Health Services Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Roanoke Valley Health Services Inc enrolled in Medicare?
Yes. Roanoke Valley Health Services Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Roanoke Valley Health Services Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Roanoke Valley Health Services Inc. 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. The largest specialties are Nurse Practitioner (5), Family Practice (2) and Clinical Social Worker (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Roanoke Valley Health Services Inc was last updated on March 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Wildwood Medical Clinic · NPI 1881704997
Family Medicine organization in Henrico, North Carolina. Organization record, active in the CMS NPPES registry since August 30, 2006.
## Identity
- **NPI:** 1881704997 (Entity type: Organization)
- **Enumerated:** August 30, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Roanoke Valley Health Services Inc
- **Organization subpart:** No
- **Authorized official:** Russ Gardner, CLINICS MANAGER
## Practice location
- **Address:** 2053 RIVER ROAD, Henrico, NC 27842-0392
- **Phone:** (252) 537-9400 · **Fax:** (252) 537-1221
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (2), Clinical Social Worker (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 4, 2008
- **Other identifiers:** Medicare OSCAR/certification 348933 (NC); Medicare PIN 2580318 (NC); Medicaid 348933A (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1881704997) · Data from the CMS NPPES public registry.