GRACE CLINIC OF YADKIN VALLEY
NPI 1356852511
Family Medicine - Adult Medicine in Elkin, NC

Q: What is Grace Clinic Of Yadkin Valley's NPI number?

The NPI number for Grace Clinic Of Yadkin Valley is 1356852511. It was assigned to this organization in the NPPES registry on October 16, 2017. The provider was formerly known as Tri-County Health Resource Center.

Q: What is Grace Clinic Of Yadkin Valley's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Active since October 16, 2017CLIA 34D1085137 · Microscopy

948 JOHNSON RIDGE RD, ELKIN, NC 28621(336) 835-1467(336) 835-1469 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2024, Jul 2, 2024, Jan 7, 2021 and 2 more (5 updates tracked since 2017).

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About Grace Clinic Of Yadkin Valley NPPES

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

GRACE CLINIC OF YADKIN VALLEY (NPI 1356852511), doing business as Tri-county Health Resource Center, is a healthcare organization registered as an adult medicine in Elkin, North Carolina and active in the NPI registry since October 2017. The organization holds a CLIA Microscopy certificate valid through January 9, 2028, maintains a secondary practice location in Elkin, and lists Betty White Taylor, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1356852511

Entity TypeOrganization

Primary Taxonomy207QA0505X

Legal Business NameGRACE CLINIC OF YADKIN VALLEY

Location Address948 JOHNSON RIDGE RDElkin, NC 28621-0948

Mailing AddressPo Box 978Elkin, NC 28621-0978 · (336) 835-1467 · Fax (336) 835-1469

Phone(336) 835-1467

Fax(336) 835-1469

Organization SubpartNo

Authorized OfficialBetty White TaylorExecutive Director · (336) 835-1467

Enumeration DateOctober 16, 2017

Last NPPES UpdateJuly 29, 20245 updates tracked since enumeration

NPPES CertifiedJuly 29, 2024

✔ NPI 1356852511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

948 JOHNSON RIDGE RD, Elkin, NC 28621

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Other Names 1

Former Legal Business NameTri-county Health Resource Center

Secondary Practice Location 1

Location 1110 Dutchman Ct Fl 2Elkin, NC 28621-2237 · Phone (336) 835-1467 · Fax (336) 835-1469

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 for Provider-Performed Microscopy Procedures (PPMP) 34D1085137

Grace Clinic Of Yadkin Valley · Elkin, NC

Active · expires Jan 9, 2028

CLIA Number34D1085137

Laboratory TypeCommunity Clinic

Certificate Effective DateJanuary 10, 2026

Certificate Expiration DateJanuary 9, 2028

Laboratory DirectorStephen E. Erlandson

Laboratory Phone(336) 835-1467

Laboratory LocationGrace Clinic Of Yadkin Valley851 Johnson Ridge Road, Elkin, NC 28621

CLIA data matches this NPI record on: 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

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

DESIREE MACLEAN

Nurse Practitioner

948 JOHNSON RIDGE RD
ELKIN, NC 28621

Surry County (336) 835-1467

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 Grace Clinic Of Yadkin Valley's NPI number?

The NPI number for Grace Clinic Of Yadkin Valley is 1356852511. It was assigned to this organization in the NPPES registry on October 16, 2017. The provider was formerly known as Tri-County Health Resource Center.

Where is Grace Clinic Of Yadkin Valley located?

Grace Clinic Of Yadkin Valley is located at 948 Johnson Ridge Rd, Elkin, NC 28621. The listed phone number is (336) 835-1467.

What is Grace Clinic Of Yadkin Valley's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Grace Clinic Of Yadkin Valley hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D1085137) is associated with this NPI, valid through January 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grace Clinic Of Yadkin Valley was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.