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CHILDREN'S ADVOCACY CENTER OF THE BLUE RIDGE
NPI 1033462148
Nurse Practitioner - Family in Boone, NC

Active since October 26, 2012CLIA 34D2099398 · Waiver
8076 HWY 105 SOUTH, BOONE, NC 28607(828) 963-9777 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Children's Advocacy Center Of The Blue Ridge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHILDREN'S ADVOCACY CENTER OF THE BLUE RIDGE (NPI 1033462148) is a healthcare organization registered as a family in Boone, North Carolina and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through September 14, 2026, maintains a secondary practice location in Blowing Rock, and lists William Jernigan, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1033462148
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSOUTHMOUNTAIN CHILDREN AND FAMILY SERVICES
Location Address8076 HWY 105 SOUTHBoone, NC 28607
Mailing AddressPo Box 3387Morganton, NC 28680-3387 · (828) 391-2803
Phone(828) 963-9777
Organization SubpartNo
Authorized OfficialWilliam JerniganExecutive Director · (828) 584-1105
Enumeration DateOctober 26, 2012
Last NPPES UpdateMay 16, 2019
✔ NPI 1033462148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedSpecialistTaxonomy 174400000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
8076 HWY 105 SOUTH, Boone, NC 28607
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Other Names 1

Doing Business AsChildren's Advocacy Center Of The Blue Ridge

Secondary Practice Location 1

Location 1105 Niley Cook RdBlowing Rock, NC 28605-9553 · Phone (828) 584-1105

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2099398

Southmountain Children And Family Services · Morganton, NC
Active · expires Sep 14, 2026
CLIA Number34D2099398
Laboratory TypeChildren's Advocacy Cent
Certificate Effective DateSeptember 15, 2024
Certificate Expiration DateSeptember 14, 2026
Laboratory DirectorJanet Jernigan
Laboratory Phone(828) 584-1105
Laboratory LocationSouthmountain Children And Family Services408 S Green Street, Morganton, NC 28655
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southmountain Children And Family Services's NPI number?

The NPI number for Southmountain Children And Family Services is 1033462148. It was assigned to this organization in the NPPES registry on October 26, 2012. The provider is doing business as Children's Advocacy Center Of The Blue Ridge.

Where is Southmountain Children And Family Services located?

Southmountain Children And Family Services is located at 8076 Hwy 105 South, Boone, NC 28607. The listed phone number is (828) 963-9777.

What is Southmountain Children And Family Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Southmountain Children And Family Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2099398) is associated with this NPI, valid through September 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southmountain Children And Family Services was last updated on May 16, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.