Tri State Clinic, Inc.
NPI 1518083971 · Internal Medicine Physician · Grundy, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tri State Clinic, Inc. is a Internal Medicine Physician organization in Grundy, VA (NPI 1518083971).
Provider details
- NPI number
- 1518083971
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Janet Stacy, Manager(276) 935-6055
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
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
19 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
Other names (DBA / former)
- Doing business as
- Tri State Rural Health Clinic
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2015-01-09
Frequently asked questions
- What is Tri State Clinic, Inc.'s NPI number?
- Tri State Clinic, Inc.'s National Provider Identifier (NPI) is 1518083971, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tri State Clinic, Inc.?
- Tri State Clinic, Inc. is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Tri State Clinic, Inc. located?
- Tri State Clinic, Inc.'s practice location on file with NPPES is 1520 Slate Creek Rd, Grundy, VA 24614-6975.
- What is Tri State Clinic, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Tri State Clinic, Inc. is (276) 935-6055.
- Does Tri State Clinic, Inc. accept Medicare?
- Tri State 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 Tri State Clinic, Inc.?
- The authorized official listed on Tri State Clinic, Inc.'s NPPES record is Janet Stacy, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tri State Clinic, Inc.'s NPI active?
- Yes — Tri State Clinic, Inc.'s NPI (1518083971) is active in the NPPES registry as of the last update on 2015-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.