MEDICARE: ORCHARD HEALTH CENTERS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center
2	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1417706953
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORCHARD HEALTH CENTERS, PLLC

Provider Business Mailing Address
First Line	:	702 13TH ST
Second Line	:
City	:	NORTH WILKESBORO
State	:	NC
Zip	:	28659-4075
Country	:	US
Telephone Number	:	336-990-9540
Fax Number	:	336-990-9542

Provider Business Practice Location Address
First Line	:	702 13TH ST
Second Line	:
City	:	NORTH WILKESBORO
State	:	NC
Zip	:	28659-4075
Country	:	US
Telephone Number	:	336-990-9540
Fax Number	:	336-990-9542

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	DARON BYRUM
Credential	:
Telephone Number	:	336-990-9540

Provider Enumeration Date	:	05/16/2024
Last Update Date	:	04/14/2026

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