DLP Central Carolina Physician Practices LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DLP CENTRAL CAROLINA PHYSICIAN PRACTICES LLC

Doing business as

Mountain Family Medicine

Practice address

245 Winklers Creek Rd
Boone, NC 28607-7838

Phone

(615) 920-7000

NPI assigned

Jan 27, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jess Judy

Title

President

Phone

(615) 920-7000

Specialties & licenses 2

Addresses

Other names 1

• MOUNTAIN FAMILY MEDICINE Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1053778696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 WINKLERS CREEK RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286077838",
            "telephone_number": "615-920-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 WINKLERS CREEK RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286077838",
            "telephone_number": "615-920-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLP CENTRAL CAROLINA PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "JUDY",
        "authorized_official_first_name": "JESS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNTAIN FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Warren Dickson, LPC
• Amber Glasco Dillard, LCSW
• Taylor Anne-Marie Dillard
• Kristina Grace Dimiceli, MD
• Anne Dixon, PA-C
• DLP Central Carolina Physician Practices LLC (Harter Family Practice)
• DLP Frye Medical Group LLC (FryeCare Family Medicine Watauga)
• DLP Frye Medical Group LLC (FryeCare Family Practice Boone)
• Jeanne Dodd-Murphy, PHD, CCCIA, FAAA
• Dogwood Psychiatry PLLC

• Family Medicine Physician in Boone, NC
• Providers in Boone, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.