Organization Active NPI

Western Carolina Family Practice PA

  • Family Medicine Physician
  • Asheville, NC
National Provider Identifier
1063499838
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9601484 Issued in NC
Legal business name
WESTERN CAROLINA FAMILY PRACTICE PA
Practice address
1257 Hendersonville Rd
Asheville, NC 28803-1916
Phone
(828) 274-6610
Fax
(828) 274-6670
NPI assigned
Dec 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Dr. Jack Carlson Spies, DO
Title
President Physician
Phone
(828) 274-6610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 9601484 NC Primary

Addresses

Primary practice location

1257 Hendersonville Rd
Asheville, NC 28803-1916

Mailing address

1257 Hendersonville Rd
Asheville, NC 28803-1916
Phone (828) 274-6610

Other identifiers 2

IdentifierTypeStateIssuer
76916OtherNCBCBS
8976916MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1063499838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 HENDERSONVILLE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031916",
            "telephone_number": "828-274-6610",
            "fax_number": "828-274-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 HENDERSONVILLE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031916",
            "telephone_number": "828-274-6610",
            "fax_number": "828-274-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN CAROLINA FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "SPIES",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "CARLSON",
        "authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "828-274-6610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9601484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "76916",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8976916",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.