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CARILION CLINIC FAMILY MEDICINE
NPI 1972128866
Clinic/Center - Rural Health in Floyd, VA

Active since June 16, 2020CLIA 49D0972922 · Certificate of Compliance
911 E MAIN ST, FLOYD, VA 24091(540) 745-2031 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 25, 2023, Aug 5, 2022, Jun 16, 2020 (3 updates tracked since 2020).

About Carilion Clinic Family Medicine NPPES

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

CARILION CLINIC FAMILY MEDICINE (NPI 1972128866) is a healthcare organization registered as a rural health in Floyd, Virginia and active in the NPI registry since June 2020. The organization holds a CLIA Certificate of Compliance certificate valid through August 8, 2026 and lists Nicole Grisetti, Director Of Operational Support, as its authorized official.

NPPES Registry Identity

NPI1972128866
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCARILION HEALTHCARE CORPORATION
Location Address911 E MAIN STFloyd, VA 24091-4183
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5677
Phone(540) 745-2031
Organization SubpartYes
Authorized OfficialNicole GrisettiDirector Of Operational Support · (540) 224-5352
Enumeration DateJune 16, 2020
Last NPPES UpdateMay 25, 20233 updates tracked since enumeration
NPPES CertifiedMay 25, 2023
✔ NPI 1972128866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
911 E MAIN ST, Floyd, VA 24091
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Other Names 1

Doing Business AsCarilion Clinic Family Medicine

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 Compliance 49D0972922

Carilion Clinic Fm- Floyd · Floyd, VA
Active · expires Aug 8, 2026
CLIA Number49D0972922
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2024
Certificate Expiration DateAugust 8, 2026
Laboratory DirectorJoel M. Hullett
Laboratory Phone(540) 745-2031
Laboratory LocationCarilion Clinic Fm- Floyd911 East Main Street, Floyd, VA 24091
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 11

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

RICHARD W DAVIDSON PA
Physician Assistant
911 E MAIN ST
FLOYD, VA 24091
Floyd County (540) 745-2031
DR. ROBERT ROWLEY BOWMAN JR. M.D.
Family Medicine
911 E MAIN ST
FLOYD, VA 24091
Floyd County (540) 745-2031
PATRICIA F FEDORCHAK CRNP
Nurse Practitioner (Family)
911 E MAIN ST
FLOYD, VA 24091
Floyd County (540) 745-2031
WAYNE D HORNEY MD
Family Medicine
911 E MAIN ST
FLOYD, VA 24091
Floyd County (540) 745-2031
RANDY LEE PROVINCE
Family Medicine
911 E MAIN ST
FLOYD, VA 24091
Floyd County (540) 745-0231
EMILY TURNER FNP
Nurse Practitioner (Family)
911 E MAIN ST
FLOYD, VA 24091
Floyd County (540) 745-2031
ANTHONY G PATRIARCO MD
Internal Medicine
911 E MAIN ST
FLOYD, VA 24091
Floyd County (540) 745-2031
KIMBERLY A DULANEY MD
Family Medicine
911 E MAIN ST
FLOYD, VA 24091
Floyd County (540) 745-2031

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 Carilion Healthcare Corporation's NPI number?

The NPI number for Carilion Healthcare Corporation is 1972128866. It was assigned to this organization in the NPPES registry on June 16, 2020. The provider is doing business as Carilion Clinic Family Medicine.

Where is Carilion Healthcare Corporation located?

Carilion Healthcare Corporation is located at 911 E Main St, Floyd, VA 24091. The listed phone number is (540) 745-2031.

What is Carilion Healthcare Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Carilion Healthcare Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 49D0972922) is associated with this NPI, valid through August 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carilion Healthcare Corporation was last updated on May 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.