NPIMap

Organization Active NPI

Hugh Chatham Memorial Hospital Inc

Doing business as Yadkin Valley Urology

  • Urology Physician
  • Elkin, NC
National Provider Identifier
1053597856
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
9700498 Issued in NC
Legal business name
HUGH CHATHAM MEMORIAL HOSPITAL INC
Doing business as
Yadkin Valley Urology
Practice address
200 Johnson Ridge Medical Park
Elkin, NC 28621-2443
Phone
(336) 526-0040
NPI assigned
Jan 11, 2008
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Don Trippel
Title
Cfo
Phone
(336) 527-7216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 9700498 NC Primary

Addresses

Primary practice location

200 Johnson Ridge Medical Park
Elkin, NC 28621-2443

Mailing address

360 Parkwood Medical Park
Elkin, NC 28621-2444
Phone (336) 527-5960

Other names 1

  • Yadkin Valley Urology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040717000340 NC Part B Supplier - Clinic/Group Practice 2062311442 Receives reassigned benefits from 102 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ronda, NC; Mount Airy, NC; Jonesville, NC; Hays, NC; Elkin, NC; Boomer, NC; Dobson, NC

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 22

National Provider Directory

National Provider Directory
Tax ID family
Yadkin Valley Adult Med16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

200 Johnson Ridge Medical Park
Elkin, NC 28621
Phone (336) 526-0040

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1053597856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 PARKWOOD MEDICAL PARK",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212444",
            "telephone_number": "336-527-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOHNSON RIDGE MEDICAL PARK",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212443",
            "telephone_number": "336-526-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGH CHATHAM MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "TRIPPEL",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "336-527-7216",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "9700498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yadkin Valley Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.