Organization Active NPI

Transitions Medical Care and Spa LLC

  • Family Nurse Practitioner
  • Grundy, VA
National Provider Identifier
1093530701
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
TRANSITIONS MEDICAL CARE AND SPA LLC
Practice address
20822 Riverside Dr
Grundy, VA 24614-9597
Phone
(276) 248-0800
Fax
(276) 248-0814
NPI assigned
Nov 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Laura Potter, DNPNPI 1295239655
Title
Owner/Operator
Phone
(469) 915-4211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

20822 Riverside Dr
Grundy, VA 24614-9597

Mailing address

PO Box 1051
Grundy, VA 24614-1051
Phone (469) 915-4211

Other names 1

  • Transitions Medical and Day Spa Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250609000031 VA Part B Supplier - Clinic/Group Practice 3476063538 Receives reassigned benefits from 1 practitioner
Practice locations: Grundy, VA

National Provider Directory

National Provider Directory
Tax ID family
Laura Potter DNP FNP-BC Contracting Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20822 Riverside Dr
Grundy, VA 24614
Phone (276) 935-2789

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1093530701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1051",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246141051",
            "telephone_number": "469-915-4211",
            "fax_number": "276-248-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20822 RIVERSIDE DR",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246149597",
            "telephone_number": "276-248-0800",
            "fax_number": "276-248-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONS MEDICAL CARE AND SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "469-915-4211",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transitions Medical and Day Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grundy, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.