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ELK RIVER MEDICAL ASSOCIATES, PA
NPI 1093700338
Clinic/Center - Multi-Specialty in Banner Elk, NC

Active since September 13, 2005CLIA 34D0246780 · Waiver
150 PARK AVE, BANNER ELK, NC 28604(828) 898-5177(828) 898-8306 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elk River Medical Associates, Pa NPPES

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

ELK RIVER MEDICAL ASSOCIATES, PA (NPI 1093700338), doing business as Elk River Internal Medicine, is a healthcare organization registered as a multi-specialty in Banner Elk, North Carolina and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through November 30, 2027 and lists David Paul Kimmel, President/staff Physician, as its authorized official.

NPPES Registry Identity

NPI1093700338
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameELK RIVER MEDICAL ASSOCIATES, PA
Location Address150 PARK AVEBanner Elk, NC 28604-6604
Mailing AddressPo Box 1568Banner Elk, NC 28604-1568 · (828) 898-5177 · Fax (828) 898-8306
Phone(828) 898-5177
Fax(828) 898-8306
Organization SubpartNo
Authorized OfficialDavid Paul KimmelPresident/staff Physician · (828) 898-5177
Enumeration DateSeptember 13, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1093700338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in NC · 38891
150 PARK AVE, Banner Elk, NC 28604
Open in Google Maps ↗

Other Names 1

Former Legal Business NameElk River Internal Medicine

Other Identifiers 5

OtherC14617NC · Group Railroad Medicare
Medicaid890150BNC
Medicaid4404134TN
Other0150BNC · Nc Bluecross Blueshield
Other112304TN · Tn Bluecross&tenncare

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 34D0246780

Elk River Medical Associates PA Appalachian Regional Medical Associates Dba · Banner Elk, NC
Active · expires Nov 30, 2027
CLIA Number34D0246780
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorDavid P. Kimmel
Laboratory Phone(828) 898-3693
Laboratory LocationElk River Medical Associates PA Appalachian Regional Medical Associates Dba150 Park Ave, Banner Elk, NC 28604
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. DAVID PAUL KIMMEL MD
Internal Medicine
150 PARK AVE
BANNER ELK, NC 28604
Avery County (828) 898-5177
CHARLES A CANNON JR MEMORIAL HOSPITAL, INC.
Clinic/Center (Rural Health)
150 PARK AVE
BANNER ELK, NC 28604
Avery County (828) 898-5178
APPALACHIAN REGIONAL MEDICAL ASSOCIATES
Family Medicine
150 PARK AVE
BANNER ELK, NC 28604
Avery County (828) 262-9127
DR. ALFRED DOUGLAS EARWOOD MD
Family Medicine
150 PARK AVE
BANNER ELK, NC 28604
Avery County (828) 898-5177

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 Elk River Medical Associates, PA's NPI number?

The NPI number for Elk River Medical Associates, PA is 1093700338. It was assigned to this organization in the NPPES registry on September 13, 2005. The provider was formerly known as Elk River Internal Medicine.

Where is Elk River Medical Associates, PA located?

Elk River Medical Associates, PA is located at 150 Park Ave, Banner Elk, NC 28604. The listed phone number is (828) 898-5177.

What is Elk River Medical Associates, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Elk River Medical Associates, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0246780) is associated with this NPI, valid through November 30, 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 Elk River Medical Associates, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.