NORTHERN HOSPITAL OF SURRY COUNTY (NPI# 1669008967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669008967 |
| Entity Type | Organization |
| Organization Name | NORTHERN HOSPITAL OF SURRY COUNTY |
| Practice Address |
830 Rockford St Mount Airy NC 27030-5322 |
| Mailing Address |
Po Box 1101 Mount Airy NC 27030-1101 |
| Practice Telephone | 3367197134 |
| Mailing Telephone | 3367197134 |
| Mailing Fax Number | 3367197199 |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |
| Authorized Official Name | ANDREA JONES HICKING (VP FINANCE & CFO) |
| Authorized Official Telephone | 3367197102 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHERN HOSPITAL OF SURRY COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Northern Regional Hospital Lab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710427091 | Northern Hospital of Surry County | Internal Medicine | 708 S South St, Suite 200, Mount Airy, NC 27030-4589 | 2017-03-06 |
| 1689114969 | Northern Hospital of Surry County | Orthopaedic Surgery | 314 S South St, Mount Airy, NC 27030-4491 | 2017-03-06 |
| 1114467404 | Northern Hospital of Surry County | Internal Medicine | 830 Rockford St, Mount Airy, NC 27030-5322 | 2017-03-06 |
| 1215477591 | Northern Hospital of Surry County | Family Medicine | 280 N Pointe Blvd, Mount Airy, NC 27030-2267 | 2017-03-06 |
| 1386184661 | Northern Hospital of Surry County | Obstetrics & Gynecology | 510 S South St, Mount Airy, NC 27030-4422 | 2017-03-06 |
| 1225578511 | Northern Hospital of Surry County | Urology | 423 S South St, Mount Airy, NC 27030-4576 | 2017-03-06 |
| 1700326089 | Northern Hospital of Surry County | Surgery | 708 S South St, Suite 100, Mount Airy, NC 27030-4589 | 2017-03-06 |
| 1225578792 | Northern Hospital of Surry County | Internal Medicine | 708 S South St, Suite 100, Mount Airy, NC 27030-4589 | 2017-03-03 |
| 1205376688 | Northern Hospital of Surry County | Pain Medicine | 110 Dutchman Ct, Elkin, NC 28621-2237 | 2017-03-03 |
| 1821463373 | Northern Hospital of Surry County | Pharmacy | 280 North Pointe Blvd., Mount Airy, NC 27030-2267 | 2015-12-09 |
| Street Address |
830 ROCKFORD ST |
| City | MOUNT AIRY |
| State | NC |
| Zip Code | 27030-5322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102407 | Robert Lee Smith | Pathology | 830 Rockford St, Mount Airy, NC 27030-5322 | 2005-05-27 |
| 1447880844 | Madeline Riley Long | Nurse Anesthetist, Certified Registered | 830 Rockford St, Mount Airy, NC 27030-5322 | 2020-01-24 |
| 1437649902 | John Michael Stevens | Physical Therapist | 830 Rockford St, Mount Airy, NC 27030-5322 | 2018-05-10 |
| 1114467404 | Northern Hospital of Surry County | Internal Medicine | 830 Rockford St, Mount Airy, NC 27030-5322 | 2017-03-06 |
| 1962866616 | Bryce Joseph Hamilton | Internal Medicine | 830 Rockford St, Mount Airy, NC 27030 | 2016-04-08 |
| 1659753671 | Angel Luis Cartagena Jr. | Nurse Practitioner | 830 Rockford St, Mount Airy, NC 27030-5322 | 2015-06-25 |
| 1235540089 | Amy Lela Martin | Nurse Practitioner | 830 Rockford St, Mount Airy, NC 27030-5322 | 2014-05-14 |
| 1578983995 | Brandon Keith Mills | Emergency Medicine | 830 Rockford St, Mount Airy, NC 27030-5322 | 2014-04-24 |
| 1235494287 | Adam J Mchone | Nurse Practitioner | 830 Rockford St, Department of Emergency Medicine, Mount Airy, NC 27030-5322 | 2012-07-05 |
| 1558682385 | Casey Davis | Emergency Medicine | 830 Rockford St, Mount Airy, NC 27030 | 2010-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
| 1376984880 | Shari York | Counselor | 847 Westlake Dr, Mount Airy, NC 27030 | 2013-07-12 |
| 1861745069 | Surry-yadkin Residential Services, Inc | Intermediate Care Facility, Mentally Retarded | 1305 Park Dr, Mount Airy, NC 27030 | 2012-10-25 |
| 1346592169 | Debra Lynn Campbell | Physician Assistant | 709 West Independence Blvd., Mount Airy, NC 27030 | 2012-10-03 |
| 1720217680 | Lena Anderson Ferris | Nurse Practitioner | 708 S South St Ste 400, Mount Airy, NC 27030 | 2009-07-13 |
| 1013104520 | Tong Li-masters | Internal Medicine | 830 Rockford Street, Winston Salem, NC 27030 | 2007-09-28 |
| 1336261528 | Thomas R Jackson Dds Pa | Dentist | 1007 Rockford Street, Mount Airy, NC 27030 | 2007-04-06 |
| 1467585422 | Ridgecrest Ritirement Community | Assisted Living Facility | Ridgecrest Retirement, LLC, 1000 Ridgecrest Ln., Mount Airy, NC 27030 | 2007-03-13 |
| 1568516755 | Lou Urmos | Family Medicine | 805 Merita Street, Mt Airy, NC 27030 | 2007-01-23 |
| 1568516391 | Mark Lee Appler | Internal Medicine | 708 S South St Ste 100, Mount Airy, NC 27030 | 2007-01-22 |
| Find all providers in zip 27030 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184126484 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 113 Scenic Outlet Ln Unit 2, Mount Airy, NC 27030-7017 | 2018-03-02 |
| 1275902389 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 504 E Ridgeville Blvd, Mount Airy, MD 21771-5942 | 2015-09-18 |
| 1629490602 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 280 N Pointe Blvd, Suite 3, Mount Airy, NC 27030-2267 | 2014-01-10 |
| 1730495144 | Laboratory Corporation of America | Clinical Medical Laboratory | 205 Center St, Ste 204, Mount Airy, MD 21771-5443 | 2010-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987170 | Wakemed | Clinical Medical Laboratory | Wakemed Raleigh Reference, 3000 New Bern Avenue, Raleigh, NC 27610-1295 | 2020-09-21 |
| 1295341006 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 125 Queens Rd Ste 370, Charlotte, NC 28204-3215 | 2020-09-17 |
| 1801407697 | Alicia Shook | Clinical Medical Laboratory | 417 Biltmore Ave # Stu4c, Asheville, NC 28801-4501 | 2020-08-14 |
| 1861016594 | Zenith Labs LLC | Clinical Medical Laboratory | 3000 Bethesda Pl Ste 201, Winston Salem, NC 27103-3324 | 2020-05-28 |
| 1730708215 | Trucore Laboratories, LLC | Clinical Medical Laboratory | 608 W King St Ste 2, Kings Mountain, NC 28086-3358 | 2020-04-14 |
| 1962039867 | Laboratory Corporation of America | Clinical Medical Laboratory | 5450 Millstream Rd, Mc Leansville, NC 27301-9697 | 2020-03-23 |
| 1538799358 | Scipher Medicine Corporation | Clinical Medical Laboratory | 4134 S Alston Ave Ste 104, Durham, NC 27713-1870 | 2020-01-21 |
| 1225685613 | Vero Diagnostics | Clinical Medical Laboratory | 1095 Investment Blvd, Apex, NC 27502-1799 | 2019-08-21 |
| 1538716113 | Karany's Veracity Company,llc | Clinical Medical Laboratory | 1816 E Arbors Dr Ste 440, Charlotte, NC 28262-2666 | 2019-08-20 |
| 1487212551 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 4380 Federal Dr Ste 100, Greensboro, NC 27410-8149 | 2019-06-03 |
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| City | MOUNT AIRY |
| Zip Code | 27030 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.