SURRY MEDICAL MINISTRIES FOUNDATION INC
NPI 1689372187
Family Medicine in Mount Airy, NC

Active since February 23, 2023CLIA 34D2235804 · Waiver
951 ROCKFORD ST, MOUNT AIRY, NC 27030(336) 789-5058 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2023, Mar 9, 2023, Feb 23, 2023 (3 updates tracked since 2023).

About Surry Medical Ministries Foundation Inc NPPES

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

SURRY MEDICAL MINISTRIES FOUNDATION INC (NPI 1689372187) is a healthcare organization registered as a family medicine in Mount Airy, North Carolina and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through September 12, 2027 and lists Nancy Moss Dixon, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1689372187
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSURRY MEDICAL MINISTRIES FOUNDATION INC
Location Address951 ROCKFORD STMount Airy, NC 27030-5323
Mailing AddressPo Box 349Mount Airy, NC 27030-0349 · (336) 789-5058
Organization SubpartNo
Authorized OfficialNancy Moss DixonExecutive Director · (336) 755-7045
Enumeration DateFebruary 23, 2023
Last NPPES UpdateFebruary 20, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2024
NPI 1689372187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
951 ROCKFORD ST, Mount Airy, NC 27030

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 34D2235804

Surry Medical Ministries · Mount Airy, NC
Active · expires Sep 12, 2027
CLIA Number34D2235804
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 13, 2025
Certificate Expiration DateSeptember 12, 2027
Laboratory DirectorJessica King
Laboratory Phone(336) 789-5058
Laboratory LocationSurry Medical Ministries951 Rockford Street, Mount Airy, NC 27030
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

Clinic/Center (Endoscopy)
951 ROCKFORD ST, SUITE B
MOUNT AIRY, NC 27030
Marriage & Family Therapist
951 ROCKFORD ST
MOUNT AIRY, NC 27030
Nurse Practitioner (Family)
951 ROCKFORD ST
MOUNT AIRY, NC 27030
Clinic/Center (Federally Qualified Health Center (FQHC))
951 ROCKFORD ST
MOUNT AIRY, NC 27030
Internal Medicine (Gastroenterology)
951 ROCKFORD ST
MOUNT AIRY, NC 27030
Physician Assistant
951 ROCKFORD ST
MOUNT AIRY, NC 27030
Pharmacy (Community/Retail Pharmacy)
951 ROCKFORD ST
MOUNT AIRY, NC 27030
Pharmacist
951 ROCKFORD ST
MOUNT AIRY, NC 27030

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 Surry Medical Ministries Foundation Inc's NPI number?

The NPI number for Surry Medical Ministries Foundation Inc is 1689372187. It was assigned to this organization in the NPPES registry on February 23, 2023.

Where is Surry Medical Ministries Foundation Inc located?

Surry Medical Ministries Foundation Inc is located at 951 Rockford St, Mount Airy, NC 27030. The listed phone number is (336) 789-5058.

What is Surry Medical Ministries Foundation Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Surry Medical Ministries Foundation Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2235804) is associated with this NPI, valid through September 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Surry Medical Ministries Foundation Inc was last updated on February 20, 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.