Active NPI
Surry Residential Services Inc
- Intellectual Disabilities Intermediate Care Facility
- Mount Airy, NC
National Provider Identifier
1528173069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- MHL-086-019
- Legal business name
- SURRY RESIDENTIAL SERVICES INC
- Practice address
- 134 Sydnor St
Mount Airy, NC 27030 - Phone
- (336) 789-3451
- NPI assigned
- Aug 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Denny
- Title
- Executive Director
- Phone
- (336) 719-0062
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | MHL-086-019 | NC | Primary |
Addresses
Primary practice location
134 Sydnor St
Mount Airy, NC 27030
Mailing address
154 N Renfro St Ste 104
Mount Airy, NC 27030-3880
Phone (336) 719-0062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340608M | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Surry-Yadkin Residential Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Mount Airy, NC
- NPI 1861745069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788134400000",
"number": "1528173069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 N RENFRO ST STE 104",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270303880",
"telephone_number": "336-719-0062",
"fax_number": "336-719-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 SYDNOR ST",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "27030",
"telephone_number": "336-789-3451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURRY RESIDENTIAL SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-21",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A",
"authorized_official_last_name": "DENNY",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "336-719-0062"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "NC",
"license": "MHL-086-019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340608M",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, NC
- Surry Regional Health Services, Inc. (Mount Airy Ob-Gyn Center)
- Surry Regional Health Services, Inc. (DBA: Northern Medical Group Primary Care)
- Surry Regional Health Services, Inc. (Hospitalists of Mount Airy)
- Surry Regional Health Services, Inc. (Northern Gastroenterology)
- Surry Regional Health Services, Inc. (Surry Surgical Associates)
- Surry Residential Services Inc
- Sydney S Schenk, DDS, PLLC
- Talon Nutrition
- Nancy Taylor
- The Ac Group Inc. (AC Group Inc)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.