NPIMap

Organization Active NPI

Northern Hosptial of Surry County

  • Pediatrics Physician
  • Mount Airy, NC
National Provider Identifier
1124568688
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NORTHERN HOSPTIAL OF SURRY COUNTY
Practice address
100 N Pointe Blvd
Mount Airy, NC 27030-2266
Phone
(336) 789-6267
Fax
(336) 786-4245
NPI assigned
Mar 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Rachel Hiatt
Title
Director Central Billing
Phone
(336) 783-8452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

100 N Pointe Blvd
Mount Airy, NC 27030-2266

Mailing address

PO Box 1267
Mount Airy, NC 27030-1267
Phone (336) 783-8911

Other names 1

  • NORTHERN PEDIATRICS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northern Hosp of Surry Co13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1124568688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1267",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270301267",
            "telephone_number": "336-783-8911",
            "fax_number": "336-719-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N POINTE BLVD",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270302266",
            "telephone_number": "336-789-6267",
            "fax_number": "336-786-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN HOSPTIAL OF SURRY COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-03",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "HIATT",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "DIRECTOR CENTRAL BILLING",
        "authorized_official_telephone_number": "336-783-8452"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHERN PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTHERN PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Airy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.