Primary Express LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PRIMARY EXPRESS LLC

Practice address

209 Cleveland Ave Ste a
Martinsville, VA 24112-3714

Phone

(276) 252-4200

NPI assigned

Dec 15, 2025

Last updated

Dec 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Cody V Williams Jr.

Title

Managing Member

Phone

(276) 252-4200

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Tara Renee Williams, NP-C

  • Family Nurse Practitioner
  • Greensboro, NC
  • NPI 1235779646

  VA

  Medicare reassignment NPD

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1740144617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CLEVELAND AVE STE A",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CLEVELAND AVE STE A",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123714",
            "telephone_number": "276-252-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY EXPRESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CODY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "276-252-4200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifton Demelle Powell Jr.
• Mary Kathryn Pressley
• Trevor Najee Preston
• Lisa Price, LPC
• Brooke Joyce Prillaman, MOT, OTR/L
• Michelle Denise Pritchett
• Privacare (Care Advantage)
• Catherine Hancock Privette
• Professional Therapies of Roanoke, Inc. (CORA Physical Therapy - Martinsville)
• Providence Transportation Service, LLC.

• Primary Care Clinic/Center in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.