BROAD RIVER AREA MEDICAL AND AESTHETICS
NPI 1568407534
Physician Assistant in Cliffside, NC

Active since June 16, 2006CLIA 34D1000526 · Waiver
245 OLD MAIN STREET, CLIFFSIDE, NC 28024(828) 657-5722(828) 657-5738 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 4, 2026, Jan 22, 2026 (2 updates tracked since 2026).

About Broad River Area Medical And Aesthetics NPPES

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

BROAD RIVER AREA MEDICAL AND AESTHETICS (NPI 1568407534) is a healthcare organization registered as a physician assistant in Cliffside, North Carolina and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through October 12, 2027 and lists Timothy D. Green, Owner/pa, as its authorized official.

NPPES Registry Identity

NPI1568407534
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameBROAD RIVER AREA MEDICAL AND AESTHETICS
Location Address245 OLD MAIN STREETCliffside, NC 28024-0275
Mailing AddressPo Box 275, 245 Old Main StCliffside, NC 28024-0275 · (828) 657-5722 · Fax (828) 657-5738
Fax(828) 657-5738
Organization SubpartNo
Authorized OfficialTimothy D. GreenOwner/pa · (828) 657-5722
Enumeration DateJune 16, 2006
Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
NPI 1568407534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

245 OLD MAIN STREET, Cliffside, NC 28024

Other Identifiers 2

Other1177XBcbs
Medicaid891177XNC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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 34D1000526

Broad River Area Medical & Aesthetics LLC · Cliffside, NC
Active · expires Oct 12, 2027
CLIA Number34D1000526
Laboratory TypePhysician Office
Certificate Effective DateOctober 13, 2025
Certificate Expiration DateOctober 12, 2027
Laboratory DirectorTimothy Green
Laboratory Phone(828) 657-5722
Laboratory LocationBroad River Area Medical & Aesthetics LLC245 Old Main Street, Cliffside, NC 28024
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Broad River Area Medical And Aesthetics's NPI number?

The NPI number for Broad River Area Medical And Aesthetics is 1568407534. It was assigned to this organization in the NPPES registry on June 16, 2006.

Where is Broad River Area Medical And Aesthetics located?

Broad River Area Medical And Aesthetics is located at 245 Old Main Street, Cliffside, NC 28024. The listed phone number is (828) 657-5722.

What is Broad River Area Medical And Aesthetics's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Broad River Area Medical And Aesthetics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1000526) is associated with this NPI, valid through October 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Broad River Area Medical And Aesthetics accept?

Health plans from Blue Cross and Blue Shield of NC list Broad River Area Medical And Aesthetics as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Broad River Area Medical And Aesthetics was last updated on February 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.