Riverside Medical Clinic Inc
NPI 1508263088ActiveOrganization· Nurse Practitioner, Family· Grundy, VA
Nurse Practitioner, Family in Grundy, Virginia, registered in NPPES in November 2014. The authorized official on file is Tara S. Williams, NP, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1508263088 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 26, 2014 |
| Last updated in NPPES | Aug 12, 2025 |
| Certified by provider | Aug 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 0024168117 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
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