MARION MEDICAL CLINIC
NPI 1831789817
Clinic/Center - Primary Care in Marion, NC

Active since January 22, 2021CLIA 34D2214486 · Waiver
61 LOGAN STREET, MARION, NC 28752(828) 442-2845 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 15, 2024, May 4, 2023, Jan 22, 2021 (3 updates tracked since 2021).

About Marion Medical Clinic NPPES

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

MARION MEDICAL CLINIC (NPI 1831789817) is a healthcare organization registered as a primary care in Marion, North Carolina and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through February 22, 2027 and lists Kelli Banner, Owner, as its authorized official.

NPPES Registry Identity

NPI1831789817
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameNBK ENTERPRISES, LLC
Location Address61 LOGAN STREETMarion, NC 28752-2856
Mailing Address356 Burma Rd WMarion, NC 28752-5277 · (828) 442-2845
Organization SubpartNo
Authorized OfficialKelli BannerOwner · (828) 442-2845
Enumeration DateJanuary 22, 2021
Last NPPES UpdateApril 15, 20243 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
✔ NPI 1831789817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X
61 LOGAN STREET, Marion, NC 28752

Other Names 1

Doing Business AsMarion Medical Clinic

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marion Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Marion Medical Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1598149775
61 LOGAN STREET
Marion, NC 28752
(828) 559-1044
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427976125
61 LOGAN ST
Marion, NC 28752
(828) 559-1044
✔ PECOSSame address
Nurse Practitioner
NPI 1821833542
61 LOGAN ST
Marion, NC 28752
(828) 559-1044
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1447981212
86 N MITCHELL AVE
Bakersville, NC 28705
(828) 688-2104
✔ PECOS✔ Accepts Medicare24 mi

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 of Waiver 34D2214486

Nbk Enterprises, LLC Dba Marion Medical Clinic · Marion, NC
Active · expires Feb 22, 2027
CLIA Number34D2214486
Laboratory TypePhysician Office
Certificate Effective DateFebruary 23, 2025
Certificate Expiration DateFebruary 22, 2027
Laboratory DirectorKelli H. Banner
Laboratory Phone(828) 442-2845
Laboratory LocationNbk Enterprises, LLC Dba Marion Medical Clinic61 Logan St, Marion, NC 28752
CLIA data matches this NPI record on: Address Name 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 Nbk Enterprises, LLC's NPI number?

The NPI number for Nbk Enterprises, LLC is 1831789817. It was assigned to this organization in the NPPES registry on January 22, 2021. The provider is doing business as Marion Medical Clinic.

Where is Nbk Enterprises, LLC located?

Nbk Enterprises, LLC is located at 61 Logan Street, Marion, NC 28752. The listed phone number is (828) 442-2845.

What is Nbk Enterprises, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Nbk Enterprises, LLC enrolled in Medicare?

Yes. Nbk Enterprises, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nbk Enterprises, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Nbk Enterprises, LLC. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Nbk Enterprises, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2214486) is associated with this NPI, valid through February 22, 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 Nbk Enterprises, LLC was last updated on April 15, 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.