Ainsley Medical LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

AINSLEY MEDICAL LLC

Practice address

2961 Crouse LN
Burlington, NC 27215-1016

Phone

(434) 770-1191

Fax

(434) 770-2548

NPI assigned

May 24, 2023

Last updated

Oct 24, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

AINSLEY MEDICAL LLCAs reported in NPPES

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

Authorized official

Name

Dr. Mark Ainsley InnisNPI 1740450220

Title

Medical Doctor

Phone

(434) 857-6697

Specialties & licenses 2

Addresses

Other names 1

• Ainsley Medical LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Tax ID family

Ainsley Medical2 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.

• Ainsley Medical LLC

  dba Primary/Urgent Care

  • Clinic/Center
  • Danville, VA
  • NPI 1518430925
  NPD tax ID

Locations

Practitioners 5

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.

• Mark Ainsley Innis, MD

  • Emergency Medicine Physician
  • Portsmouth, VA
  • NPI 1740450220
  Medicare reassignment Care Compare group Authorized official
• Viola Jones, AG-NP-BC

  • Primary Care Nurse Practitioner
  • Roanoke, VA
  • NPI 1912369489
  Medicare reassignment Care Compare group
• Ashley Keene Cooper, APRN

  • Family Nurse Practitioner
  • Murfreesboro, NC
  • NPI 1316518889

  VA

  Medicare reassignment NPD
• Ashli G Saunders-Lea, OT

  • Occupational Therapist
  • Danville, VA
  • NPI 1699501106
  Medicare reassignment NPD
• Princess A Fitzgerald, FNP-C

  • Primary Care Nurse Practitioner
  • Danville, VA
  • NPI 1336958321
  NPD (past)

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792800000000",
    "number": "1265124689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 MAIN ST STE 1A",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412940",
            "telephone_number": "434-857-6697",
            "fax_number": "434-770-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 CROUSE LN",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272151016",
            "telephone_number": "434-770-1191",
            "fax_number": "434-770-2548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1108 Main St",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245412940",
            "country_code": "US",
            "telephone_number": "434-421-6180",
            "fax_number": "434-421-4974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AINSLEY MEDICAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AINSLEY MEDICAL LLC",
        "enumeration_date": "2023-05-24",
        "last_updated": "2026-10-24",
        "certification_date": "2026-10-24",
        "status": "A",
        "authorized_official_last_name": "INNIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "AINSLEY",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "434-857-6697",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ainsley Medical LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ainsley Medical LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Ainsley Medical LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Emergency Care Clinic/Center in Burlington, NC
• Providers in Burlington, NC by specialty
• Emergency Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.