| Northern Hospital Of Surry County | |
|
830 Rockford St Mount Airy NC 27030-5322 | |
| (336) 719-7000 | |
| Not Available |
| Full Name | Northern Hospital Of Surry County |
|---|---|
| Speciality | Internal Medicine |
| Location | 830 Rockford St, Mount Airy, North Carolina |
| Authorized Official Name and Position | Rachel Hiatt (DIRECTOR CENTRAL BILLING) |
| Authorized Official Contact | 3367838452 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Hospital Of Surry County Po Box 1267 Mount Airy NC 27030-1267 Ph: (336) 783-8911 | Northern Hospital Of Surry County 830 Rockford St Mount Airy NC 27030-5322 Ph: (336) 719-7000 |
| NPI Number | 1114467404 |
|---|---|
| Provider Enumeration Date | 03/06/2017 |
| Last Update Date | 06/05/2025 |
| Medicare PECOS PAC ID | 0244281749 |
|---|---|
| Medicare Enrollment ID | O20170911002297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114467404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Emidio Michael Novembre |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1750308664 PECOS PAC ID: 5294637336 Enrollment ID: I20040123000983 |
| Provider Name | Donna C Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578543997 PECOS PAC ID: 2062400120 Enrollment ID: I20040505001529 |
| Provider Name | Mark L Appler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568516391 PECOS PAC ID: 9436148889 Enrollment ID: I20040510001612 |
| Provider Name | Eric J Melvin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619943982 PECOS PAC ID: 1254317936 Enrollment ID: I20040624001123 |
| Provider Name | Christopher Anthony Marinakis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952401895 PECOS PAC ID: 7214914787 Enrollment ID: I20040701001491 |
| Provider Name | David John Bohle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710966718 PECOS PAC ID: 0840279485 Enrollment ID: I20040716000449 |
| Provider Name | David Majure |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578536074 PECOS PAC ID: 5799765871 Enrollment ID: I20040720001580 |
| Provider Name | Druery R Devore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730185315 PECOS PAC ID: 4284603168 Enrollment ID: I20040928000392 |
| Provider Name | Nancy E Frye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134298052 PECOS PAC ID: 5698720829 Enrollment ID: I20050321000469 |
| Provider Name | Richard Ray Herber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023083599 PECOS PAC ID: 7911947700 Enrollment ID: I20050512000302 |
| Provider Name | Robert Van Williamson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316942675 PECOS PAC ID: 2062454424 Enrollment ID: I20050525000855 |
| Provider Name | James David Kay |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427002898 PECOS PAC ID: 6901870575 Enrollment ID: I20060523000142 |
| Provider Name | Walter Ang Tan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821010067 PECOS PAC ID: 8729084793 Enrollment ID: I20061013000578 |
| Provider Name | Robert Scott Corbin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841291614 PECOS PAC ID: 9032211941 Enrollment ID: I20070223000372 |
| Provider Name | Peter M Belford |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1205877990 PECOS PAC ID: 5698875458 Enrollment ID: I20070709000266 |
| Provider Name | Richard James Stork |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1205897956 PECOS PAC ID: 9931171097 Enrollment ID: I20070802000466 |
| Provider Name | Tom Orli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124161476 PECOS PAC ID: 5496846586 Enrollment ID: I20070803000097 |
| Provider Name | Danal Sue Snyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669516035 PECOS PAC ID: 6800986159 Enrollment ID: I20071226000417 |
| Provider Name | Emad Fouad Massoud Malak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063693182 PECOS PAC ID: 8921173121 Enrollment ID: I20080822000531 |
| Provider Name | Whitney J French |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821078171 PECOS PAC ID: 9335206614 Enrollment ID: I20090401000277 |
| Provider Name | Sheila Marie Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457561987 PECOS PAC ID: 6709974157 Enrollment ID: I20090414000320 |
| Provider Name | Lena Anderson Ferris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720217680 PECOS PAC ID: 0345394524 Enrollment ID: I20090822000183 |
| Provider Name | Tamas I Balogh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245235167 PECOS PAC ID: 8820187206 Enrollment ID: I20100112000760 |
| Provider Name | Albert Shih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922067552 PECOS PAC ID: 0840326914 Enrollment ID: I20100327000533 |
| Provider Name | Aniko Toth-bagi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851362123 PECOS PAC ID: 1355477464 Enrollment ID: I20100329000306 |
| Provider Name | Allen G Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326010364 PECOS PAC ID: 7810023892 Enrollment ID: I20100329001023 |
| Provider Name | Tamas P Bathory |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699754689 PECOS PAC ID: 8022145416 Enrollment ID: I20100415000770 |
| Provider Name | William L Lawing |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144295783 PECOS PAC ID: 3173650496 Enrollment ID: I20100419000480 |
| Provider Name | William Eric Refvem |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487652681 PECOS PAC ID: 1557463734 Enrollment ID: I20100616000452 |
| Provider Name | Molly K Easter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225224728 PECOS PAC ID: 4587797899 Enrollment ID: I20100805001031 |
| Provider Name | Donald Nelson Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659344141 PECOS PAC ID: 3678553757 Enrollment ID: I20100806000293 |
| Provider Name | George B Newsome |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174585947 PECOS PAC ID: 9436282787 Enrollment ID: I20100806000337 |
| Provider Name | James F Barwick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659571073 PECOS PAC ID: 5294869921 Enrollment ID: I20100817001372 |
| Provider Name | David D Jackson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942206453 PECOS PAC ID: 3072638261 Enrollment ID: I20100910000897 |
| Provider Name | Cathy J Fanning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306830146 PECOS PAC ID: 2769467083 Enrollment ID: I20100923000261 |
| Provider Name | Huyi Jin Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669678231 PECOS PAC ID: 9032204763 Enrollment ID: I20110307000460 |
| Provider Name | John B Davis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467414953 PECOS PAC ID: 0143366252 Enrollment ID: I20110802000262 |
| Provider Name | David M Werle |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740451434 PECOS PAC ID: 8325211139 Enrollment ID: I20111021000584 |
| Provider Name | Charlotte Ann Cassell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831269091 PECOS PAC ID: 3870623887 Enrollment ID: I20111109000644 |
| Provider Name | Luke Allen Peters |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588953343 PECOS PAC ID: 0345566980 Enrollment ID: I20150226000677 |
| Provider Name | Jason A Rytlewski |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1104036029 PECOS PAC ID: 1052576568 Enrollment ID: I20150529000407 |
| Provider Name | Graham Vance Byrum |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598021560 PECOS PAC ID: 5193046472 Enrollment ID: I20150807014366 |
| Provider Name | Nathan De Mcgeathy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255786273 PECOS PAC ID: 1052605326 Enrollment ID: I20160809002022 |
| Provider Name | April D Croston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902351950 PECOS PAC ID: 0345524203 Enrollment ID: I20170222000126 |
| Provider Name | Michael J Gentry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598007411 PECOS PAC ID: 0941444004 Enrollment ID: I20170807000875 |
| Provider Name | Kelley Osborne Manuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508386889 PECOS PAC ID: 1456625060 Enrollment ID: I20170920003399 |
| Provider Name | Catalin Marian Burciu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972508687 PECOS PAC ID: 4284723669 Enrollment ID: I20180213000733 |
| Provider Name | Rachel Amy Baldi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265412985 PECOS PAC ID: 1557341807 Enrollment ID: I20181207000460 |
| Provider Name | Virginia Elizabeth Meadows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346715695 PECOS PAC ID: 5395080980 Enrollment ID: I20190102000167 |
| Provider Name | Elizabeth A Casstevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326514860 PECOS PAC ID: 2567700719 Enrollment ID: I20190213001044 |
| Provider Name | Amy L Crittenden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164985008 PECOS PAC ID: 2668715749 Enrollment ID: I20190513000172 |
| Provider Name | Jessica D Darnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740844281 PECOS PAC ID: 6709112451 Enrollment ID: I20190801002923 |
| Provider Name | Jade Mccormick Kiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861913600 PECOS PAC ID: 2860729548 Enrollment ID: I20190805001442 |
| Provider Name | Bryce J Hamilton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962866616 PECOS PAC ID: 5597058339 Enrollment ID: I20190826003167 |
| Provider Name | Elizabeth G Bond |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619396082 PECOS PAC ID: 6800013087 Enrollment ID: I20190916001814 |
| Provider Name | Brittany Knicely Street |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194386136 PECOS PAC ID: 0446582548 Enrollment ID: I20191022002691 |
| Provider Name | Alan Matthew Tripp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396829925 PECOS PAC ID: 0042280208 Enrollment ID: I20200218003193 |
| Provider Name | Matthew Sechler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154855799 PECOS PAC ID: 1951671817 Enrollment ID: I20200518002984 |
| Provider Name | Brittney Heath Preslar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912520958 PECOS PAC ID: 1254755689 Enrollment ID: I20200720000144 |
| Provider Name | Jose L Mendoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518493980 PECOS PAC ID: 8325308281 Enrollment ID: I20200722000089 |
| Provider Name | Brandon Warren Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225519291 PECOS PAC ID: 6406190388 Enrollment ID: I20200803002934 |
| Provider Name | Michael David Merz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083069082 PECOS PAC ID: 2961796032 Enrollment ID: I20200813002472 |
| Provider Name | Mark Edward Gentry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144260191 PECOS PAC ID: 6507915014 Enrollment ID: I20210128002180 |
| Provider Name | Cindy Vernon White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942897400 PECOS PAC ID: 4385050921 Enrollment ID: I20210308000335 |
| Provider Name | Tyler Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912228404 PECOS PAC ID: 3274806591 Enrollment ID: I20211201001206 |
| Provider Name | Marissa Leigh Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417526898 PECOS PAC ID: 8022408749 Enrollment ID: I20211210001823 |
| Provider Name | Donl F Blevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972266070 PECOS PAC ID: 4981095221 Enrollment ID: I20211222000651 |
| Provider Name | George Leighton Lee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194923474 PECOS PAC ID: 2163660952 Enrollment ID: I20220107002307 |
| Provider Name | Daniel John Houskamp |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386058089 PECOS PAC ID: 0042609349 Enrollment ID: I20220429000407 |
| Provider Name | Christian Hope Schlitt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073170551 PECOS PAC ID: 0840524591 Enrollment ID: I20221019001100 |
| Provider Name | Lindsay Adair Davies |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992144745 PECOS PAC ID: 2062709587 Enrollment ID: I20221019001589 |
| Provider Name | Samantha Kunz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851016646 PECOS PAC ID: 8729458849 Enrollment ID: I20230106001770 |
| Provider Name | Ashley Mears Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689399776 PECOS PAC ID: 2567832413 Enrollment ID: I20230110002069 |
| Provider Name | Josue Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366905176 PECOS PAC ID: 0840525887 Enrollment ID: I20230728000306 |
| Provider Name | Heather Ann Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669108361 PECOS PAC ID: 0547631780 Enrollment ID: I20231011002480 |
| Provider Name | Jared Sanderford |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891292066 PECOS PAC ID: 0648529115 Enrollment ID: I20240731003901 |
| Provider Name | Carl Buchholz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629631908 PECOS PAC ID: 1658606637 Enrollment ID: I20240809002048 |
Northern Hospital Of Surry County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 S South St, Mount Airy, NC 27030 Phone: 336-786-4522 Fax: 336-789-3025 | |
Health Plus By Nurse Practitioners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 835 Hwy 52 North, Mount Airy, NC 27030 Phone: 336-789-6503 Fax: 336-789-6687 | |
Forsyth Memorial Hospital Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2133 Rockford St, Suite 1400, Mount Airy, NC 27030 Phone: 336-719-0398 Fax: 336-719-0494 | |
Surry Regional Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 N Pointe Blvd, Mount Airy, NC 27030 Phone: 336-786-4133 Fax: 336-786-4338 | |
Gaps Health Nc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 Chandler Hills Dr Ste 105, Mount Airy, NC 27030 Phone: 276-233-0945 | |
Northern Hospital Of Surry County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1016 S South St, Mount Airy, NC 27030 Phone: 336-783-8900 Fax: 336-783-3417 |