ELKIN PEDIATRIC & ADULT MEDICINE, PA - NPI 1083684898

Q: What is Elkin Pediatric & Adult Medicine, PA's NPI number?

The NPI number for Elkin Pediatric & Adult Medicine, PA is 1083684898. It was assigned to this organization in the NPPES registry on January 24, 2006.

Q: What is Elkin Pediatric & Adult Medicine, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Elkin Pediatric & Adult Medicine, Pa NPPES

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

ELKIN PEDIATRIC & ADULT MEDICINE, PA (NPI 1083684898) is a healthcare organization registered as a family medicine in Elkin, North Carolina and active in the NPI registry since January 2006. The organization holds an CLIA Accreditation certificate valid through March 26, 2027 and lists Donna G Hutchens, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1083684898

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameELKIN PEDIATRIC & ADULT MEDICINE, PA

Location Address124 SAMARITANS RIDGE RDElkin, NC 28621-2452

Mailing Address124 Samaritans Ridge RdElkin, NC 28621-2452 · (336) 835-7700 · Fax (336) 527-1071

Phone(336) 835-7700

Fax(336) 527-1071

Organization SubpartNo

Authorized OfficialDonna G HutchensOffice Manager · (336) 835-7700

Enumeration DateJanuary 24, 2006

Last NPPES UpdateApril 3, 2008

✔ NPI 1083684898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

124 SAMARITANS RIDGE RD, Elkin, NC 28621

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Other Identifiers 3

Medicare ID-Type Unspecified2344063

Medicaid8902170NC

Other02170NC · Bdbs Nc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Accreditation 34D0966622

Elkin Pediatric & Adult Medicine · Elkin, NC

Active · expires Mar 26, 2027

CLIA Number34D0966622

Laboratory TypePhysician Office

Certificate Effective DateMarch 27, 2025

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorAlvaro Castillejo

Laboratory Phone(336) 835-7700

Laboratory LocationElkin Pediatric & Adult Medicine124 Samaritan's Ridge Rd, Elkin, NC 28621

CLIA data matches this NPI record on: Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON ANNE SPAGNOLETTI P.A.

Physician Assistant