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MOUNT JEFFERSON FAMILY MEDICINE, P.A.
NPI 1114959731
Family Medicine in Jefferson, NC

Active since July 06, 2006CLIA 34D0965300 · Microscopy
200 HOSPITAL AVE, SUITE 3, JEFFERSON, NC 28640(336) 846-7433(336) 846-7878 Get Directions Write a Review

NPPES record last updated: December 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mount Jefferson Family Medicine, P.a. NPPES

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

MOUNT JEFFERSON FAMILY MEDICINE, P.A. (NPI 1114959731) is a healthcare organization registered as a family medicine in Jefferson, North Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through September 16, 2027 and lists Rita D Richardson, Corporate Secretary, as its authorized official.

NPPES Registry Identity

NPI1114959731
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOUNT JEFFERSON FAMILY MEDICINE, P.A.
Location Address200 HOSPITAL AVE, SUITE 3Jefferson, NC 28640-9244
Mailing AddressPo Box 369Jefferson, NC 28640-0369 · (336) 846-7433 · Fax (336) 846-7878
Phone(336) 846-7433
Fax(336) 846-7878
Organization SubpartNo
Authorized OfficialRita D RichardsonCorporate Secretary · (336) 846-7433
Enumeration DateJuly 6, 2006
Last NPPES UpdateDecember 7, 2015
✔ NPI 1114959731 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.
200 HOSPITAL AVE, Jefferson, NC 28640
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Other Identifiers 3

Other0173ANC · Bcbsnc
Medicaid790173ANC
Medicare PIN2344341NC

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 for Provider-Performed Microscopy Procedures (PPMP) 34D0965300

Mount Jefferson Family Medicine · Jefferson, NC
Active · expires Sep 16, 2027
CLIA Number34D0965300
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2025
Certificate Expiration DateSeptember 16, 2027
Laboratory DirectorMelinda D. Wonsick
Laboratory Phone(336) 846-7433
Laboratory LocationMount Jefferson Family Medicine200 Hospital Avenue Suite 3, Jefferson, NC 28640
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

KATHERINE A AVERILL MD
Obstetrics & Gynecology
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 846-7433
HIGH COUNTRY FAMILY MEDICINE, PA
Family Medicine
200 HOSPITAL AVE, SUITE 7
JEFFERSON, NC 28640
Ashe County (336) 846-7238
SHARON PATRICIA DILLEY MD
Internal Medicine
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 846-7433
DR. JOHN ALVAR SUNDIN M.D.
Surgery
200 HOSPITAL AVE, SUITE 5
JEFFERSON, NC 28640
Ashe County (336) 846-8939
DR. RONALD WILLIAM BENFIELD MD
Orthopaedic Surgery
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 846-7101
ASHE MEMORIAL HOSPITAL INC
Specialist/Technologist, Pathology
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 846-7101
CHARLES W JONES MD PA ENDOSCOPY SUITE
Clinic/Center (Ambulatory Surgical)
200 HOSPITAL AVE, SUITE 5
JEFFERSON, NC 28640
Ashe County (336) 246-7779
CHARLES B JONES JR. PA
Physician Assistant
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 846-7101

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 Mount Jefferson Family Medicine, P.A.'s NPI number?

The NPI number for Mount Jefferson Family Medicine, P.A. is 1114959731. It was assigned to this organization in the NPPES registry on July 6, 2006.

Where is Mount Jefferson Family Medicine, P.A. located?

Mount Jefferson Family Medicine, P.A. is located at 200 Hospital Ave Suite 3, Jefferson, NC 28640. The listed phone number is (336) 846-7433.

What is Mount Jefferson Family Medicine, P.A.'s specialty?

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

Does Mount Jefferson Family Medicine, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0965300) is associated with this NPI, valid through September 16, 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 Mount Jefferson Family Medicine, P.A. was last updated on December 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.