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

NPI Status: Active since October 16, 2017

Contact Information

948 JOHNSON RIDGE RD
ELKIN, NC
ZIP 28621
Phone: (336) 835-1467
Fax: (336) 835-1469

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  • Organization
  • Family Medicine
  • Adult Medicine
  • CLIA Number: 34D1085137
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 01-09-2028

About GRACE CLINIC OF YADKIN VALLEY

This page provides the complete NPI Profile along with additional information for Grace Clinic Of Yadkin Valley, a primary care provider established in Elkin, North Carolina operating as a Family Medicine, focusing in adult medicine . The healthcare provider is registered in the NPI registry with number 1356852511 assigned on October 2017. The practitioner's primary taxonomy code is 207QA0505X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Grace Clinic Of Yadkin Valley operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's former legal business name is Tri-county Health Resource Center. The authorized official of this NPI record is Betty White Taylor (Executive Director)

NPI
1356852511
Provider Legal Name
GRACE CLINIC OF YADKIN VALLEY
Other Organization Name
TRI-COUNTY HEALTH RESOURCE CENTER
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
948 JOHNSON RIDGE RD ELKIN, NC 28621
Location Phone
(336) 835-1467
Location Fax
(336) 835-1469
Mailing Address
PO BOX 978 ELKIN, NC 28621
Mailing Phone
(336) 835-1467
Mailing Fax
(336) 835-1469
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-16-2017
Last Update Date
07-29-2024
Code Navigator

A primary care provider (PCP) like Grace Clinic Of Yadkin Valley sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 110 Dutchman Ct Fl 2
    Elkin, NC 28621
    (336) 835-1467

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 Adult Medicine

Taxonomy Code
207QA0505X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

BETTY WHITE TAYLOR

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(336) 835-1467

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D1085137
Facility Type
Community Clinic
Certificate Effective Date
January 10, 2026
Certificate Expiration Date
January 09, 2028
Laboratory Director
STEPHEN E. ERLANDSON
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Grace Clinic Of Yadkin Valley in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1356852511, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
1
Doubled → 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 8 → 16 → 7 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 0 + 6 + 1 + 6 + 5 + 4 + 5 + 2 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1356852511.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner
948 JOHNSON RIDGE RD
ELKIN, NC 28621

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356852511, enumerated as an "organization" on October 16, 2017.

The provider is located at 948 JOHNSON RIDGE RD ELKIN, NC 28621 and the phone number is (336) 835-1467.

Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.