CLINCH VALLEY UROLOGY, LLC — NPI 1114955168 (Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon) in RICHLANDS, VA)

CMS-1500 Box 24J / 33a • NPI

1114955168

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

208800000X (CMS 34)

Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)

Box 32 Service Location & ZIP+4

6719 GOV G. C. PEERY HWY, SUITE 1800, RICHLANDS, VA, 24641-2055

✓ 9-Digit EDI 837 ZIP+4 (24641-2055)

Practice Phone & Referral Fax

(276) 596-6659

Fax: (276) 596-6658

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1114955168 (CLINCH VALLEY UROLOGY, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1114955168` (NPI-2 Organization / Facility)
Provider / Legal Name	CLINCH VALLEY UROLOGY, LLC
Plain-English Specialty	Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon) NUCC Code: `208800000X` (Urology)
Certifying / Licensing Body	American Board of Urology (ABU)
Practice Location Address	6719 GOV G. C. PEERY HWY, SUITE 1800, RICHLANDS, VA, 24641-2055
Practice Telephone / Fax	Tel: (276) 596-6659 \| Fax: (276) 596-6658
Administrative Mailing Address	6719 GOV G. C. PEERY HWY, RICHLANDS, VA, 24641-2055
Enumeration & Last Sync	Enumerated: 2006-06-29 \| CMS Record Updated: 2010-04-14
Authorized Official	JESS JUDY (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

6719 GOV G. C. PEERY HWY, SUITE 1800, RICHLANDS, VA, 24641-2055

🗺️ Open in Google Maps 🏥 More Providers in RICHLANDS

🔒 Are you CLINCH VALLEY UROLOGY, LLC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (208800000X)

What Does Taxonomy Code 208800000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208800000X translates to:
"Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 34 (Physician/Urology)
Certifying / Accrediting Authority: American Board of Urology (ABU)
Clinical Scope: Kidney stones causing flank pain, blood in urine (hematuria), recurrent urinary tract infections (UTIs), prostate enlargement, or urinary incontinence.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CLINCH VALLEY UROLOGY, LLC)

Typical CPT / Diagnostic Procedures:

Diagnostic Cystourethroscopy (CPT 52000) & Urodynamic Flow Studies
Ureteroscopy with Holmium Laser Lithotripsy for Kidney Stones (CPT 52356)
Extracorporeal Shock Wave Lithotripsy (ESWL — CPT 50590)
Prostate Specific Antigen (PSA) Screening & Ultrasound-Guided Biopsy

Common Therapeutic Classes:

Alpha-Blockers (Tamsulosin, Alfuzosin) for BPH & Ureteral Stone Passage
5-Alpha Reductase Inhibitors (Finasteride, Dutasteride)
Targeted Urinary Antimicrobials (Nitrofurantoin, Fosfomycin, Ciprofloxacin, Septra)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`208800000X` — Urology Plain English: Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

CLINCH VALLEY UROLOGY, LLC (NPI #1114955168)