Riverside Medical Clinic Inc
NPI 1508263088 · Family Nurse Practitioner · Grundy, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Riverside Medical Clinic Inc is a Family Nurse Practitioner organization in Grundy, VA (NPI 1508263088).
Provider details
- NPI number
- 1508263088
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Tara Williams, President(276) 935-7515
- License
- 0024168117 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
- 2014-11-26
- Last updated
- 2025-08-12
- Certified
- 2025-08-12
Frequently asked questions
- What is Riverside Medical Clinic Inc's NPI number?
- Riverside Medical Clinic Inc's National Provider Identifier (NPI) is 1508263088, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Riverside Medical Clinic Inc?
- Riverside Medical Clinic Inc is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Riverside Medical Clinic Inc located?
- Riverside Medical Clinic Inc's practice location on file with NPPES is 20886 Riverside Dr, Grundy, VA 24614-9597.
- What is Riverside Medical Clinic Inc's phone number?
- The practice phone number listed in the NPPES registry for Riverside Medical Clinic Inc is (276) 935-7515.
- Does Riverside Medical Clinic Inc accept Medicare?
- Riverside Medical Clinic Inc 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 Riverside Medical Clinic Inc?
- The authorized official listed on Riverside Medical Clinic Inc's NPPES record is Tara Williams, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Riverside Medical Clinic Inc's NPI active?
- Yes — Riverside Medical Clinic Inc's NPI (1508263088) is active in the NPPES registry as of the last update on 2025-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.