Individual provider Active NPI

Linda Michelle Rakes, FNP

  • Family Medicine Physician
  • Martinsville, VA
National Provider Identifier
1275194441
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0024178168 Issued in VA
Practice address
312 Fairy Street Ext Ste 101
Martinsville, VA 24112-1912
Phone
(276) 403-4278
NPI assigned
Jun 27, 2019
Last updated
May 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5011934 NC
Family Medicine Physician 207Q00000X 0024178168 VA Primary

Addresses

Primary practice location

312 Fairy Street Ext Ste 101
Martinsville, VA 24112-1912

Mailing address

12 Beechwood Dr
Bassett, VA 24055-4143
Phone (276) 252-6463

Other practice location 1

401 W Decatur St
Madison, NC 27025-1913
Phone (336) 548-9618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190819000363 NC Practitioner - Nurse Practitioner 8729316559 Reassigns benefits to 1 organization
I20210514001616 VA Practitioner - Nurse Practitioner 8729316559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Medical Services IncGroup PAC ID 2769395458, 214 clinicians

Practice addresses (Care Compare)

401 W Decatur St
Madison, NC 27025-1913
Phone (336) 548-9618

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5011934NCMDFamily Medicine Physician
0024178168VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stateline Heart and Vascular Health, Inc CurrentSince Apr 19, 2021 Accepting new patients
Moses Cone Medical Services, Inc. Family Medicine CurrentSince Dec 8, 2025 Accepting new patients

Locations

300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205

401 W Decatur St
Madison, NC 27025
Phone (336) 548-9618

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

312 Fairy Street Ext
Ste 101
Martinsville, VA 24112
Phone (276) 632-2966

435 Commonwealth Blvd E
Martinsville, VA 24112
Phone (276) 403-4278

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16877/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1275194441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BEECHWOOD DR",
            "city": "BASSETT",
            "state": "VA",
            "postal_code": "240554143",
            "telephone_number": "276-252-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 FAIRY STREET EXT STE 101",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121912",
            "telephone_number": "276-403-4278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 W Decatur St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "NC",
            "postal_code": "270251913",
            "country_code": "US",
            "telephone_number": "336-548-9618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAKES",
        "first_name": "LINDA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "5011934",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0024178168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

Verify at the official NPI Registry.