NPIMap

Organization Active NPI

Hospice of Surry County, Inc

Doing business as Mountain Valley

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Dobson, NC
National Provider Identifier
1578854147
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
HOSPICE OF SURRY COUNTY, INC
Doing business as
Mountain Valley
Mountain Valley Hospice and Palliative Care
Mountain Valley Serious Illness
Practice address
105 N Crutchfield St Unit 2
Dobson, NC 27017-8804
Phone
(336) 789-2922
Fax
(336) 789-0856
NPI assigned
Apr 29, 2011
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Mrs. Tracey Smith Dobson, RN, BSN
Title
President and Ceo
Phone
(336) 789-2922

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X Primary
Community Based Hospice Care Agency 251G00000X

Addresses

Primary practice location

105 N Crutchfield St Unit 2
Dobson, NC 27017-8804

Mailing address

PO Box 325
Dobson, NC 27017-0325
Phone (336) 789-2922

Other practice location 1

705 W Pine St
Mount Airy, NC 27030-4594
Phone (888) 789-2922

Other practice location 2

688 N Bridge St
Elkin, NC 28621-3005
Phone (336) 526-2565

Other practice location 3

3069 Trenwest Dr
Winston Salem, NC 27103-3211
Phone (336) 789-2922

Other practice location 4

129 Veterans Dr
Pilot Mountain, NC 27041-9609
Phone (336) 368-1260

Other practice location 5

945 Zephyr Rd
Dobson, NC 27017-7708
Phone (336) 356-5000

Other practice location 6

243 N Lee Ave
Yadkinville, NC 27055-5431
Phone (336) 677-1692

Other practice location 7

516 Hawthorne Dr
Yadkinville, NC 27055-7689
Phone (888) 789-2922

Other practice location 8

141 Spruce Pine Way
King, NC 27021-8444
Phone (336) 789-2922

Other practice location 9

220 Market View Dr Ste C
Kernersville, NC 27284-4026
Phone (888) 789-2922

Other identifiers 1

IdentifierTypeStateIssuer
020TJOtherNCBCBS

Other names 3

  • Mountain Valley Doing business as
  • Mountain Valley Hospice and Palliative Care Doing business as
  • Mountain Valley Serious Illness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080929000387 NC Part B Supplier - Clinic/Group Practice 2961448741 Receives reassigned benefits from 14 practitioners
1 other NPI on this enrollment
Practice locations: King, NC; Yadkinville, NC; Winston Salem, NC; Pilot Mountain, NC; Mount Airy, NC; Dobson, NC; Elkin, NC

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Hospice of Surry County Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

151 N Crutchfield St
2ND FL
Dobson, NC 27017
Phone (888) 789-2922

151 N Crutchfield St FL 2
Dobson, NC 27017

151 N Crutchfield St Unit 2
Dobson, NC 27017

688 N Bridge St
Elkin, NC 28621
Phone (336) 526-2565

220 Market View Dr
Ste C
Kernersville, NC 27284

141 Spruce Pine Way
Ste E
King, NC 27021
Phone (888) 789-2922

1326 N Main St
Mount Airy, NC 27030

1427 Edgewood Dr
Ste 101
Mount Airy, NC 27030
Phone (336) 789-2922

401 Technology Ln
Mount Airy, NC 27030

401 Technology Ln
Ste 200
Mount Airy, NC 27030
Phone (336) 789-2922

705 W Pine St
Mount Airy, NC 27030

3069 Trenwest Dr
Ste 101
Winston Salem, NC 27103
Phone (888) 789-2922

1512 Shacktown Rd
Yadkinville, NC 27055
Phone (336) 679-2466

208 N Jackson St
Yadkinville, NC 27055
Phone (336) 679-2466

320 W Maple St
Yadkinville, NC 27055
Phone (336) 679-2466

606A E Stuart Dr
Galax, VA 24333
Phone (276) 236-3939

240 Commonwealth Blvd W
Unit 602B
Martinsville, VA 24112

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Mountain ValleyFort Mill, SC, CCN 421654 Hospice 5% Or Greater Indirect Ownership Interest (8%) Dec 11, 2024

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1578854147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "270170325",
            "telephone_number": "336-789-2922",
            "fax_number": "336-789-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N CRUTCHFIELD ST UNIT 2",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "270178804",
            "telephone_number": "336-789-2922",
            "fax_number": "336-789-0856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 W Pine St",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "NC",
            "postal_code": "270304594",
            "country_code": "US",
            "telephone_number": "888-789-2922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "688 N Bridge St",
            "address_purpose": "LOCATION",
            "city": "Elkin",
            "state": "NC",
            "postal_code": "286213005",
            "country_code": "US",
            "telephone_number": "336-526-2565",
            "fax_number": "336-526-2370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3069 Trenwest Dr",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033211",
            "country_code": "US",
            "telephone_number": "336-789-2922",
            "fax_number": "336-789-0856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "129 Veterans Dr",
            "address_purpose": "LOCATION",
            "city": "Pilot Mountain",
            "state": "NC",
            "postal_code": "270419609",
            "country_code": "US",
            "telephone_number": "336-368-1260",
            "fax_number": "336-368-1263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "945 Zephyr Rd",
            "address_purpose": "LOCATION",
            "city": "Dobson",
            "state": "NC",
            "postal_code": "270177708",
            "country_code": "US",
            "telephone_number": "336-356-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "243 N Lee Ave",
            "address_purpose": "LOCATION",
            "city": "Yadkinville",
            "state": "NC",
            "postal_code": "270555431",
            "country_code": "US",
            "telephone_number": "336-677-1692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "516 Hawthorne Dr",
            "address_purpose": "LOCATION",
            "city": "Yadkinville",
            "state": "NC",
            "postal_code": "270557689",
            "country_code": "US",
            "telephone_number": "888-789-2922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Spruce Pine Way",
            "address_purpose": "LOCATION",
            "city": "King",
            "state": "NC",
            "postal_code": "270218444",
            "country_code": "US",
            "telephone_number": "336-789-2922",
            "fax_number": "336-789-0856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Market View Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272844026",
            "country_code": "US",
            "telephone_number": "888-789-2922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOSPICE OF SURRY COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "DOBSON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "336-789-2922",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "020TJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Valley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mountain Valley Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mountain Valley Serious Illness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dobson, NC

Sources for this page

Verify at the official NPI Registry.