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WATAUGA MEDICAL CENTER INC
NPI 1972308930
Internal Medicine - Hematology & Oncology in Boone, NC

Active since February 14, 2025CLIA 34D2331405 · Accreditation
1200 STATE FARM RD, BOONE, NC 28607(828) 262-4332(828) 265-5514 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Watauga Medical Center Inc NPPES

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

WATAUGA MEDICAL CENTER INC (NPI 1972308930) is a healthcare organization registered as a hematology & oncology in Boone, North Carolina and active in the NPI registry since February 2025. The organization holds an CLIA Accreditation certificate valid through September 30, 2027 and lists Mary Etta Long, Svp Medical Staff Relations, as its authorized official.

NPPES Registry Identity

NPI1972308930
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameWATAUGA MEDICAL CENTER INC
Location Address1200 STATE FARM RDBoone, NC 28607-4994
Mailing AddressPo Box 2600Boone, NC 28607-2600 · (828) 262-4133 · Fax (828) 262-4103
Phone(828) 262-4332
Fax(828) 265-5514
Organization SubpartYes
Authorized OfficialMary Etta LongSvp Medical Staff Relations · (828) 262-4133
Enumeration DateFebruary 14, 2025
NPPES CertifiedFebruary 14, 2025
✔ NPI 1972308930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1200 STATE FARM RD, Boone, NC 28607
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Other Names 1

Other NameMedical Oncology

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Watauga Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Watauga Medical Center Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Kara Fore-Flores
Nurse Practitioner
NPI 1790547115
1200 STATE FARM RD
Boone, NC 28607
(828) 262-4332
✔ PECOS✔ Accepts MedicareSame address
Luiz Pita De Oliveira, MD
Medical Oncology
NPI 1699986190
2406 CENTURY PL SE
Hickory, NC 28602
(828) 324-9550
✔ PECOS✔ Accepts Medicare38 mi
Obiageli Ogbata, M.D.
Medical Oncology
NPI 1346552692
125 QUEENS RD STE 400
Charlotte, NC 28204
(980) 302-6400
✔ PECOS✔ Accepts Medicare83 mi
Saritha Ravella, M.D.
Hematology/Oncology
NPI 1821244773
1212 CENTRAL DRIVE SUITE 201
Sanford, NC 27330
(919) 775-8183
✔ PECOS✔ Accepts Medicare147 mi
Kenneth Kotz, MD
Medical Oncology
NPI 1669466009
2131 S 17TH ST
Wilmington, NC 28401
(910) 667-3000
✔ PECOS✔ Accepts Medicare252 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 Accreditation 34D2331405

Watauga Medical Center, Inc - Medical Oncology · Boone, NC
Active · expires Sep 30, 2027
CLIA Number34D2331405
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorAllan R. Smith III
Laboratory Phone(828) 262-4332
Laboratory LocationWatauga Medical Center, Inc - Medical Oncology1200 State Farm Rd, Boone, NC 28607
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Watauga Medical Center Inc's NPI number?

The NPI number for Watauga Medical Center Inc is 1972308930. It was assigned to this organization in the NPPES registry on February 14, 2025. The provider is also known as Medical Oncology.

Where is Watauga Medical Center Inc located?

Watauga Medical Center Inc is located at 1200 State Farm Rd, Boone, NC 28607. The listed phone number is (828) 262-4332.

What is Watauga Medical Center Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Watauga Medical Center Inc enrolled in Medicare?

Yes. Watauga Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Watauga Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Watauga Medical Center Inc. 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 Medical Oncology (3), Hematology/Oncology (1) and Nurse Practitioner (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Watauga Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 34D2331405) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Watauga Medical Center Inc accept?

Health plans from Blue Cross and Blue Shield of NC list Watauga Medical Center Inc 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 Watauga Medical Center Inc was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.