NBK Enterprises, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

NBK ENTERPRISES, LLC

Doing business as

Marion Medical Clinic

Practice address

61 Logan Street
Marion, NC 28752-2856

Phone

(828) 442-2845

NPI assigned

Jan 22, 2021

Last updated

Apr 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelli Banner, NPNPI 1598149775

Title

Owner

Phone

(828) 442-2845

Specialties & licenses 2

Addresses

Other names 1

• Marion Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Kelli Banner, FNP-C

  • Family Nurse Practitioner
  • Marion, NC
  • NPI 1598149775
  Medicare reassignment Care Compare group NPD Authorized official
• Kiersten Grayson Reid, FNP

  • Family Nurse Practitioner
  • Marion, NC
  • NPI 1821833542
  Medicare reassignment Care Compare group NPD
• Ashley Rebecca Hendrixon-Ward

  • Family Nurse Practitioner
  • Bakersville, NC
  • NPI 1447981212
  Medicare reassignment NPD
• Jordan Nicole Laughter, FNP-C

  • Family Nurse Practitioner
  • Marion, NC
  • NPI 1427976125
  NPD

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1831789817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 BURMA RD W",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287525277",
            "telephone_number": "828-442-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 LOGAN STREET",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287522856",
            "telephone_number": "828-442-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NBK ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "BANNER",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-442-2845",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marion Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marion Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mountainmed LLC
• Courtney Dawn Mull, MD
• Callie Ann Munson, LCMHC-A
• London Murray
• National Mentor Healthcare LLC (North Carolina Mentor)
• Hannah Neitzey, LCSW-A, LCAS-A
• Amber Nelon
• Christopher Thomas Nevant, D.D.S
• New Beginnings Alliance LLC
• New Destinations, Inc.

• Primary Care Clinic/Center in Marion, NC
• Providers in Marion, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.