Organization Active NPI

Tox Sisters LLC

  • Clinic/Center
  • Grundy, VA
National Provider Identifier
1386506301
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TOX SISTERS LLC
Practice address
21956 Riverside Dr Ste 7
Grundy, VA 24614-9400
Phone
(276) 285-8764
NPI assigned
Nov 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Samantha Fraley, FNPNPI 1154133676
Title
Owner
Phone
(276) 285-8764

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

21956 Riverside Dr Ste 7
Grundy, VA 24614-9400

Mailing address

21956 Riverside Dr Ste 7
Grundy, VA 24614-9400
Phone (276) 285-8764

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260319000278 VA Part B Supplier - Clinic/Group Practice 9739663667 Receives reassigned benefits from 2 practitioners
Practice locations: Grundy, 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
49D2336801Tox Sisters LLC21956 Riverside Drive Suite 7, Grundy, VA 24614Certificate of waiverJan 10, 2028

National Provider Directory

National Provider Directory

Locations

21956 Riverside Dr
Ste 7
Grundy, VA 24614
Phone (276) 285-8764

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1764288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1386506301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21956 RIVERSIDE DR STE 7",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246149400",
            "telephone_number": "276-285-8764",
            "fax_number": "276-312-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21956 RIVERSIDE DR STE 7",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246149400",
            "telephone_number": "276-285-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOX SISTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-28",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "FRALEY",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-285-8764",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 22, 2026; 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.