Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy Dwight Edmisten, MD

Individual provider Vascular Surgery Physician · NPI 1780679357

Timothy Dwight Edmisten, MD is a General Surgery in Boone, North Carolina. Graduated from Brody School of Medicine at East Carolina University in 1993, 33 years ago. Practices with Appalachian Regional Medical Associates Inc, a 149-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
33
Trained at
Brody School of Medicine at East Carolina University
Licensed in
NC
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

965 State Farm Rd
Boone, NC 28607-4948
Phone: (828) 264-2340
Fax: (828) 262-0731
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 9800856 (NC)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 9800856 (NC)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence 9800856 (NC)

Record details

NPI number1780679357
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 20, 2005
Last updated in NPPESMarch 10, 2023
Certification dateMarch 10, 2023
Mailing address965 State Farm Rd, Boone, NC 28607-4948

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesTHORACIC SURGERY
Medical schoolBRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated 1993 (33 years in practice)
Group practice Appalachian Regional Medical Associates Inc — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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