OrganizationActive
Watauga Medical Center, Inc.
NPI 1194069765 · Cardiovascular Disease Physician · Jefferson, NC
Provider details
- NPI number
- 1194069765
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Appalachian Regional Healthcare System
- Organization subpart
- Yes
- Authorized official
- Mary Long, Sr Vp Medical Staff Relations(828) 262-4133
- License
- H0037 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
257 Medical Park Dr
Jefferson, NC 28640-9561
Phone: (336) 246-2404
Fax: (336) 246-2420
Street-level locationGet directions
Mailing address
155 Furman Rd
Boone, NC 28607-5049
Other names (DBA / former)
- Doing business as
- The Cardiology Center - Ashe
Registry dates
- Enumerated
- 2012-11-20
- Last updated
- 2025-01-08
- Certified
- 2025-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.