NPIMap

Organization Active NPI

Appalachian Family Care, LLC

  • Family Medicine Physician
  • Vansant, VA
National Provider Identifier
1053336636
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
APPALACHIAN FAMILY CARE, LLC
Practice address
18765 Riverside Drive
Vansant, VA 24656
Phone
(276) 935-2880
Fax
(276) 935-2889
NPI assigned
Jul 13, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Frances Baxter Minton, RN
Title
President
Phone
(276) 935-2880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

18765 Riverside Drive
Vansant, VA 24656

Mailing address

PO Box 498
Keen Mountain, VA 24624-0498
Phone (276) 935-2880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070522000190 VA Part B Supplier - Clinic/Group Practice 9931206232 Receives reassigned benefits from 13 practitioners
Practice locations: Vansant, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1049648Appalachian Family Care18765 Riverside Drive, Vansant, VA 24656Certificate of waiverJan 11, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1053336636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 498",
            "city": "KEEN MOUNTAIN",
            "state": "VA",
            "postal_code": "246240498",
            "telephone_number": "276-935-2880",
            "fax_number": "276-935-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18765 RIVERSIDE DRIVE",
            "city": "VANSANT",
            "state": "VA",
            "postal_code": "24656",
            "telephone_number": "276-935-2880",
            "fax_number": "276-935-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MINTON",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "BAXTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-935-2880",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vansant, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.