GRACE CLINIC OF YADKIN VALLEY
NPI 1356852511
Family Medicine - Adult Medicine in Elkin, NC
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
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grace Clinic Of Yadkin Valley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Grace Clinic Of Yadkin Valley, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NCFrequently 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.
Is Grace Clinic Of Yadkin Valley enrolled in Medicare?
Yes. Grace Clinic Of Yadkin Valley is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grace Clinic Of Yadkin Valley?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Grace Clinic Of Yadkin Valley. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Family Practice (2) and Internal Medicine (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Grace Clinic Of Yadkin Valley · NPI 1356852511
Adult Medicine organization in Elkin, North Carolina. Organization record, active in the CMS NPPES registry since October 16, 2017.
## Identity
- **NPI:** 1356852511 (Entity type: Organization)
- **Enumerated:** October 16, 2017
- **Primary specialty:** Family Medicine - Adult Medicine · taxonomy 207QA0505X
- **Organization subpart:** No
- **Authorized official:** Betty Taylor, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 948 JOHNSON RIDGE RD, Elkin, NC 28621-0948
- **Phone:** (336) 835-1467 · **Fax:** (336) 835-1469
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (2), Internal Medicine (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 29, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356852511) · Data from the CMS NPPES public registry.