County Med, LLC
NPI 1407580483 · Primary Care Clinic/Center · Blackstone, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
County Med, LLC is a Primary Care Clinic/Center organization in Blackstone, VA (NPI 1407580483).
Provider details
- NPI number
- 1407580483
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shantel Latta, Owner(434) 294-3825
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-07-14
- Last updated
- 2023-08-01
- Certified
- 2023-08-01
Frequently asked questions
- What is County Med, LLC's NPI number?
- County Med, LLC's National Provider Identifier (NPI) is 1407580483, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is County Med, LLC?
- County Med, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is County Med, LLC located?
- County Med, LLC's practice location on file with NPPES is 103 E Broad St, Blackstone, VA 23824-1815.
- What is County Med, LLC's phone number?
- The practice phone number listed in the NPPES registry for County Med, LLC is (434) 264-3221.
- Does County Med, LLC accept Medicare?
- County Med, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for County Med, LLC?
- The authorized official listed on County Med, LLC's NPPES record is Shantel Latta, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is County Med, LLC's NPI active?
- Yes — County Med, LLC's NPI (1407580483) is active in the NPPES registry as of the last update on 2023-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.