NPIMap

Organization Active NPI

Northern Hospital of Surry County

  • General Acute Care Hospital
  • Mount Airy, NC
National Provider Identifier
1366449282
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H0184 Issued in NC
Legal business name
NORTHERN HOSPITAL OF SURRY COUNTY
Practice address
830 Rockford St
Mount Airy, NC 27030-5322
Phone
(336) 719-7112
Fax
(336) 786-3752
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Rachel N Hiatt
Title
Director, Cbo
Phone
(336) 783-8452

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H0184 NC Primary
Community/Retail Pharmacy 3336C0003X
Institutional Pharmacy 3336I0012X 02362 NC
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

830 Rockford St
Mount Airy, NC 27030-5322

Mailing address

PO Box 1101
Mount Airy, NC 27030-1101
Phone (336) 719-7112

Other identifiers 7

IdentifierTypeStateIssuer
000697OtherANTHEM - BCBS OF VA
3409112OtherNCPDP PROVIDER IDENTIFICATION NUMBER
009810269MedicaidVA
R103HOSOtherBLUE MEDICARE
00396OtherNCBCBS OF NC
3400003MedicaidNC
5003269OtherUNITED HEALTH CARE

Other names 3

  • NORTH HOSPITAL OF SURRY COUNTY Doing business as
  • NORTHERN HOSPITAL DISTRICT OF SURRY COUNTY Doing business as
  • Northern Regional Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050915000745 NC Part A Provider - Hospital 0244281749 Practice locations: Dobson, NC; Mount Airy, NC

Hospital certification: CCN 340003

Legal name
NORTHERN HOSPITAL OF SURRY COUNTY
Doing business as
NORTHERN REGIONAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 15, 2017
Beds
112
Ownership / control type
Hospital district or authority
Organization structure
OtherProprietary
Enrollment address
830 Rockford St
Mount Airy, NC 27030-5322
Hospital subgroups
General, Acute care, Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Northern Regional HospitalCCN 340003
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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.

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Paul Patterson Individual Corporate DirectorBoard Member Oct 1, 2013
Chris a Lumsden Individual Corporate OfficerCeo Jul 23, 2018
Brian Johnson Individual Corporate DirectorBoard Member Apr 16, 2018
Michael J Gentry Individual Operational/Managerial ControlBoard Member Jan 1, 2022
Ann Vaughn Individual Corporate DirectorBoard Member Aug 27, 2018
Tommy Riggs Individual Corporate DirectorBoard Member Mar 4, 1999
Derek White Individual Operational/Managerial ControlDirector of Accounting Oct 18, 1999
William Woltz Individual Corporate DirectorBoard Member - Vice Chairman & T Dec 27, 1989
Phillip Cook Individual Corporate DirectorBoard Member Oct 1, 1999
Teresa Lewis Individual Corporate DirectorBoard Member Dec 1, 2014
Monty Venable Individual Corporate DirectorBoard Member Oct 1, 2003
Andrea Hickling Individual Corporate OfficerChief Financial Officer Aug 1, 2013
David Gillespie Individual Corporate DirectorBoard Member Oct 1, 1999
Phillip Snow Individual Corporate DirectorBoard Member Oct 4, 2003

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mountain Valley Hospice & Palliative CareDobson, NC, CCN 341546 Hospice 5% Or Greater Direct Ownership Interest (50%) Oct 1, 2005
Mountain Valley Hospice & Palliative CareGalax, VA, CCN 491580 Hospice 5% Or Greater Direct Ownership Interest (50%) Oct 1, 2005
Northern Obstetrics & GynecologyMount Airy, NC, CCN 343480 Rural health clinic Operational/Managerial Control (100%) Jan 1, 1966
Northern PediatricsMount Airy, NC, CCN 343481 Rural health clinic Operational/Managerial Control (100%) Jan 1, 1966

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 41

Affiliated clinicians 327

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 327

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1366449282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1101",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270301101",
            "telephone_number": "336-719-7112",
            "fax_number": "336-786-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 ROCKFORD ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305322",
            "telephone_number": "336-719-7112",
            "fax_number": "336-786-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN HOSPITAL OF SURRY COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "HIATT",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR, CBO",
        "authorized_official_telephone_number": "336-783-8452"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "H0184",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NC",
            "license": "02362",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - BCBS OF VA",
            "identifier": "000697",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3409112",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009810269",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE MEDICARE",
            "identifier": "R103HOS",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "00396",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400003",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "5003269",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH HOSPITAL OF SURRY COUNTY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTHERN HOSPITAL DISTRICT OF SURRY COUNTY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northern Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northern Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Airy, NC

Sources for this page

Verify at the official NPI Registry.