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SANDY RIVER FAMILY CARE INC
NPI 1932354222
Family Medicine in Axton, VA

Active since December 01, 2008CLIA 49D1096368 · Waiver
4520 MEDICAL CENTER RD, AXTON, VA 24054(434) 685-7095(434) 797-1300 Get Directions Write a Review

NPPES record last updated: September 10, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sandy River Family Care Inc NPPES

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

SANDY RIVER FAMILY CARE INC (NPI 1932354222) is a healthcare organization registered as a family medicine in Axton, Virginia and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through March 2, 2027 and lists Rajendra S Trivedi, President, as its authorized official.

NPPES Registry Identity

NPI1932354222
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSANDY RIVER FAMILY CARE INC
Location Address4520 MEDICAL CENTER RDAxton, VA 24054-2822
Mailing Address309 S Main StDanville, VA 24541-2925 · (434) 797-4150 · Fax (434) 797-1300
Phone(434) 685-7095
Fax(434) 797-1300
Organization SubpartYesParent: Memorial Family Care Inc
Authorized OfficialRajendra S TrivediPresident · (434) 685-7095
Enumeration DateDecember 1, 2008
Last NPPES UpdateSeptember 10, 2013
✔ NPI 1932354222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101053147
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.
4520 MEDICAL CENTER RD, Axton, VA 24054
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Other Identifiers 6

Other89063VUNC · Medicaid Nc
Medicare UPING16514VA
OtherCL9316VA · Palmetto Gba Medicare
Other258015VA · Anthem Bc
Medicare PINC01226VA
Medicaid005619505VA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandy River Family Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Sandy River Family Care Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Vanessa Hairston, NP
Nurse Practitioner
NPI 1295924538
4520 MEDICAL CENTER RD
Axton, VA 24054
(434) 685-7095
✔ PECOS✔ Accepts MedicareSame address
Rajendra Trivedi, MD
Family Practice
NPI 1740222843
501 RISON ST SUITE 120
Danville, VA 24541
(434) 792-3730
✔ PECOS✔ Accepts Medicare15 mi

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 49D1096368

Sandy River Family Care, Inc · Axton, VA
Active · expires Mar 2, 2027
CLIA Number49D1096368
Laboratory TypeMobile Laboratory
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorRajendra S. Trivedi, MD
Laboratory Phone(434) 685-7095
Laboratory LocationSandy River Family Care, Inc4520 Medical Center Road, Axton, VA 24054
CLIA data matches this NPI record on: Address Name Phone
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 Sandy River Family Care Inc's NPI number?

The NPI number for Sandy River Family Care Inc is 1932354222. It was assigned to this organization in the NPPES registry on December 1, 2008.

Where is Sandy River Family Care Inc located?

Sandy River Family Care Inc is located at 4520 Medical Center Rd, Axton, VA 24054. The listed phone number is (434) 685-7095.

What is Sandy River Family Care Inc's specialty?

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

Is Sandy River Family Care Inc enrolled in Medicare?

Yes. Sandy River Family Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sandy River Family Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Sandy River Family Care Inc, 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sandy River Family Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1096368) is associated with this NPI, valid through March 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sandy River Family Care Inc was last updated on September 10, 2013. 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.