Organization Active NPI

High Country House Call

  • Clinic/Center
  • West Jefferson, NC
National Provider Identifier
1073965760
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
5005546 Issued in NC
Legal business name
HIGH COUNTRY HOUSE CALL
Practice address
1006 S Jefferson Ave
West Jefferson, NC 28694-9729
Phone
(336) 909-4275
Fax
(336) 450-1854
NPI assigned
Jul 6, 2016
Last updated
Jul 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Dr. Shirley Anne Warner, NPNPI 1548526569
Title
Owner/Operator
Phone
(828) 773-7559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 5005546 NC Primary

Addresses

Primary practice location

1006 S Jefferson Ave
West Jefferson, NC 28694-9729

Mailing address

1006 S Jefferson Ave
West Jefferson, NC 28694-9729
Phone (336) 909-4275

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160901002224 NC Part B Supplier - Clinic/Group Practice 9638465594 Receives reassigned benefits from 1 practitioner
Practice locations: West Jefferson, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2119786High Country House Call1006 South Jefferson Avenue, West Jefferson, NC 28694Certificate of waiverOct 3, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1073965760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 S JEFFERSON AVE",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286949729",
            "telephone_number": "336-909-4275",
            "fax_number": "336-450-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 S JEFFERSON AVE",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286949729",
            "telephone_number": "336-909-4275",
            "fax_number": "336-450-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH COUNTRY HOUSE CALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "828-773-7559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "5005546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jefferson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.