WATAUGA SURGICAL GROUP
NPI 1144748948
Surgery in Boone, NC

Q: What is Appalachian Regional Medical Associates Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since September 01, 2017CLIA 34D2298090 · Waiver

965 STATE FARM RD, BOONE, NC 28607(828) 264-2340(828) 262-0731 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Watauga Surgical Group NPPES

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

WATAUGA SURGICAL GROUP (NPI 1144748948) is a healthcare organization registered as a surgery in Boone, North Carolina and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through January 28, 2028 and lists Mary Etta Long, Sr Vp Medical Staff Relations, as its authorized official.

NPPES Registry Identity

NPI1144748948

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameAPPALACHIAN REGIONAL MEDICAL ASSOCIATES INC

Location Address965 STATE FARM RDBoone, NC 28607-4948

Mailing Address336 Deerfield RdBoone, NC 28607-5008 · (828) 263-1211 · Fax (828) 262-4103

Phone(828) 264-2340

Fax(828) 262-0731

Organization SubpartNo

Authorized OfficialMary Etta LongSr Vp Medical Staff Relations · (828) 262-4133

Enumeration DateSeptember 1, 2017

Last NPPES UpdateJanuary 17, 2025

NPPES CertifiedJanuary 17, 2025

✔ NPI 1144748948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

965 STATE FARM RD, Boone, NC 28607

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Other Names 1

Doing Business AsWatauga Surgical Group

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 34D2298090

Appalachian Regional Medical Associates Dba Watauga Surgical Group · Boone, NC

Active · expires Jan 28, 2028

CLIA Number34D2298090

Laboratory TypePhysician Office

Certificate Effective DateJanuary 29, 2026

Certificate Expiration DateJanuary 28, 2028

Laboratory DirectorAnne Corinne Beaver

Laboratory Phone(828) 264-2340

Laboratory LocationAppalachian Regional Medical Associates Dba Watauga Surgical Group965 State Farm Road, Boone, NC 28607

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

LIONEL VAN DER WESTHUIZEN M.D.

Surgery