Family Medical Care of Rowan-Spencer

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICAL CARE OF ROWAN-SPENCER

Practice address

117 5TH St
Spencer, NC 28159-2125

Phone

(704) 639-9124

Fax

(704) 639-9717

NPI assigned

Dec 22, 2005

Organization subpart

No

Name

Llyod Emery Nickerson, MD

Title

Owner Medical Doctor

Phone

(704) 633-7070

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lloyd Emery Nickerson, M.D.

  • Family Medicine Physician
  • Salisbury, NC
  • NPI 1942382940

  Family Medicine

  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 9, 2008.

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1033196837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N SALISBURY AVE",
            "city": "SPENCER",
            "state": "NC",
            "postal_code": "281592514",
            "telephone_number": "704-633-7070",
            "fax_number": "704-633-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 5TH ST",
            "city": "SPENCER",
            "state": "NC",
            "postal_code": "281592125",
            "telephone_number": "704-639-9124",
            "fax_number": "704-639-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CARE OF ROWAN-SPENCER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "NICKERSON",
        "authorized_official_first_name": "LLYOD",
        "authorized_official_middle_name": "EMERY",
        "authorized_official_title_or_position": "OWNER MEDICAL DOCTOR",
        "authorized_official_telephone_number": "704-633-7070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89014CE",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK8333",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Renee Davis, MA, CCC/SLP
• David Alan Desanto
• Michelle Philbeck Eagle, LPTA
• Easter Seals Ucp of North Carolina & Virginia, Inc.
• Family Medical Care of Rowan PA
• Robin Starr Forbis, LPTA
• Future Focus, Inc
• Gloris Harris
• Lakisha S Hayes
• Benita Jo Hutchinson, LMSW

• All providers in Spencer, NC
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.