WATAUGA MEDICAL GROUP
NPI 1245574177
Family Medicine - Addiction Medicine in Abingdon, VA

Active since November 15, 2012
300 VALLEY ST, NE, ABINGDON, VA 24210(276) 206-8197 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Family Medicine
  • Addiction Medicine

About WATAUGA MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Watauga Medical Group, a provider established in Abingdon, Virginia operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1245574177 assigned on November 2012. The practitioner's primary taxonomy code is 207QA0401X with license number 41174 (VA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Ralph Thomas Reach M.d. (President)

NPI
1245574177 Verify this NPI
Provider Name
WATAUGA MEDICAL GROUP
Entity Type
Organization
Location Address
300 VALLEY ST, NE ABINGDON, VA 24210
Location Phone
(276) 206-8197
Mailing Address
300 VALLEY ST, NE ABINGDON, VA 24210
Mailing Phone
(276) 206-8197
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-15-2012
Last Update Date
11-15-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Addiction Medicine

Taxonomy Code
207QA0401X
Type
Allopathic & Osteopathic Physicians
License No.
41174
License State
VA
Taxonomy Description
A family medicine physician who specializes in the diagnosis and treatment of addictions.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. RALPH THOMAS REACH M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(276) 206-8197

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245574177, enumerated as an "organization" on November 15, 2012.

The provider is located at 300 VALLEY ST, NE ABINGDON, VA 24210 and the phone number is (276) 206-8197.

Family Medicine with taxonomy code 207QA0401X and a focus in Addiction Medicine.