Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Riverside Medical Clinic Inc

Organization Family Nurse Practitioner · NPI 1508263088

Riverside Medical Clinic Inc is a Family Nurse Practitioner in Grundy, Virginia. Licensed in Virginia. Registered with an NPI since 2014.

Licensed in
VA
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20886 Riverside Dr
Grundy, VA 24614-9597
Phone: (276) 935-7515
Fax: (276) 935-4351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024168117 (VA)

Record details

NPI number1508263088
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Williams — President · (276) 935-7515
NPI enumeratedNovember 26, 2014
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing addressPo Box 1030, Grundy, VA 24614-1030

Other providers in Grundy