SEBY B. JONES REGIONAL CANCER CENTER - AVERY – NPI #1295079796
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Health Care Provider Taxonomy Code for Internal Medicine

SEBY B. JONES REGIONAL CANCER CENTER - AVERY is a provider located in LINVILLE, NC. NPPES has assigned the NPI number 1295079796 to SEBY B. JONES REGIONAL CANCER CENTER - AVERY on November 21, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SEBY B. JONES REGIONAL CANCER CENTER - AVERY” is a dba name, the actual legal business name for this organization is WATAUGA MEDICAL CENTER, INC.. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was last updated on Jan 08, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SEBY B. JONES REGIONAL CANCER CENTER - AVERY below.

NPI Profile for
WATAUGA MEDICAL CENTER, INC.

NPI Number
1295079796
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WATAUGA MEDICAL CENTER, INC.
Doing Business As (dba): SEBY B. JONES REGIONAL CANCER CENTER - AVERY
Primary location
436 HOSPITAL DRIVE
SUITE 210
LINVILLE, NC 28646-0787
Phone: (828) 737-7650 Fax:
Mailing address
155 FURMAN RD
SUITE 101
BOONE, NC 28607-5049
Phone: (828) 262-4438 Fax: (828) 262-4157
Organization Subpart
Yes - SEBY B. JONES REGIONAL CANCER CENTER - AVERY is subpart of another organization.
Authorized Official
MARY LONG
SR VP MEDICAL STAFF RELATIONS
Phone: (828) 262-4133
Updated
Certification Date
Jan 08, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)		 NC H0037

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1068.1
Content Type
Affiliation
Y
Endpoint Location
2720 DUNDEE RD # 302,
NORTHBROOK, IL 77025-1669