1. Home
  2. Directory
  3. North Carolina
  4. Elkin
  5. Family Medicine
  6. NPI Profile

ELKIN PEDIATRIC & ADULT MEDICINE, PA
NPI 1083684898
Family Medicine in Elkin, NC

Active since January 24, 2006CLIA 34D0966622 · Accreditation
124 SAMARITANS RIDGE RD, ELKIN, NC 28621(336) 835-7700(336) 527-1071 Get Directions Write a Review

NPPES record last updated: April 3, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elkin Pediatric & Adult Medicine, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Elkin Pediatric & Adult Medicine, PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Lori Barker, FNP
Nurse Practitioner
NPI 1922547744
124 SAMARITANS RIDGE RD
Elkin, NC 28621
(336) 835-7700
✔ PECOS✔ Accepts MedicareSame address
Alvaro Castillejo, D.O.
Family Practice
NPI 1356311153
124 SAMARITANS RIDGE RD
Elkin, NC 28621
(336) 835-7700
✔ PECOS✔ Accepts MedicareSame address
Stephen Walker, M.D.
Internal Medicine
NPI 1265402572
124 SAMARITANS RIDGE RD
Elkin, NC 28621
(336) 835-7700
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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 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.

Where is Elkin Pediatric & Adult Medicine, PA located?

Elkin Pediatric & Adult Medicine, PA is located at 124 Samaritans Ridge Rd, Elkin, NC 28621. The listed phone number is (336) 835-7700.

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

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

Is Elkin Pediatric & Adult Medicine, PA enrolled in Medicare?

Yes. Elkin Pediatric & Adult Medicine, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elkin Pediatric & Adult Medicine, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Elkin Pediatric & Adult Medicine, PA, in Family Practice, Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Elkin Pediatric & Adult Medicine, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 34D0966622) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elkin Pediatric & Adult Medicine, PA was last updated on April 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.