Active NPI
Thomas Gary Church, FNP.BC
- Nurse Practitioner
- Hudson, NC
National Provider Identifier
1003041534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 184774
- Practice address
- 2990 Hickory Blvd
Hudson, NC 28638 - Phone
- (828) 386-1001
- Fax
- (828) 358-1317
- NPI assigned
- May 28, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 184774 | NC | Primary |
Addresses
Primary practice location
2990 Hickory Blvd
Hudson, NC 28638
Mailing address
2990 Hickory Blvd.
Hudson, NC 28638
Phone (828) 386-1001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Vein Care, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Vascular Surgery Physician
- Boone, NC
- NPI 1477519536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1003041534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2990 HICKORY BLVD.",
"city": "HUDSON",
"state": "NC",
"postal_code": "28638",
"telephone_number": "828-386-1001",
"fax_number": "828-358-1317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2990 HICKORY BLVD",
"city": "HUDSON",
"state": "NC",
"postal_code": "28638",
"telephone_number": "828-386-1001",
"fax_number": "828-358-1317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHURCH",
"first_name": "THOMAS",
"middle_name": "GARY",
"name_prefix": "Mr.",
"credential": "FNP.BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-28",
"last_updated": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "184774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.