Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Watauga Medical Center, Inc

Organization Nephrology Physician · NPI 1528134194

Watauga Medical Center, Inc provides Nephrology Physician services in Boone, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

336 Deerfield Rd
Boone, NC 28607
Phone: (828) 262-4100
Fax: (828) 262-4103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence H0077 (NC)
Nephrology Physician Taxonomy 207RN0300X · Licence H0077 (NC)
Pediatrics Physician Taxonomy 208000000X · Licence H0077 (NC)
Sleep Medicine (Psychiatry & Neurology) Physician Taxonomy 2084S0012X

Record details

NPI number1528134194
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAppalachian Regional Healthcare System
Authorized official Mary Long — Sr Vp Medical Staff Services · (828) 262-4133
Other names Watauga Medical Center; Watauga Medical Center
NPI enumeratedNovember 27, 2006
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025
Mailing address155 Furman Rd, Suite 101, Boone, NC 28607-5049

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