Active NPI
Swannanoa Valley Family Medicine
- Family Medicine Physician
- Swannanoa, NC
National Provider Identifier
1073665337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24779
- Legal business name
- SWANNANOA VALLEY FAMILY MEDICINE
- Practice address
- 2296 US 70 Hwy
Swannanoa, NC 28778-8209 - Phone
- (828) 686-5232
- Fax
- (828) 686-7269
- NPI assigned
- Jan 17, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mrs. Janey Wood Kelly, M.D.
- Title
- President
- Phone
- (828) 686-5232
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
National Provider Directory
National Provider DirectoryLocations
2296 US Highway 70
Swannanoa, NC 28778
Phone (828) 458-4139
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24779 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2296 US 70 Hwy
Swannanoa, NC 28778-8209
Mailing address
2296 US 70 Hwy
Swannanoa, NC 28778-8209
Phone (828) 686-5232
Other identifiers 5
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210331 | Other | NC | CIGNA |
| 0170087 | Other | NC | UNITED HEALTH CARE |
| 152692 | Other | NC | MID SOUTH |
| 8948212 | Medicaid | NC | |
| 48212 01649 | Other | NC | BCBS |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 26, 2010.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264464000000",
"number": "1073665337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2296 US 70 HWY",
"city": "SWANNANOA",
"state": "NC",
"postal_code": "287788209",
"telephone_number": "828-686-5232",
"fax_number": "828-686-7269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2296 US 70 HWY",
"city": "SWANNANOA",
"state": "NC",
"postal_code": "287788209",
"telephone_number": "828-686-5232",
"fax_number": "828-686-7269"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWANNANOA VALLEY FAMILY MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-17",
"last_updated": "2010-01-26",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "JANEY",
"authorized_official_middle_name": "WOOD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "828-686-5232",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NC",
"license": "24779",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "210331",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "0170087",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MID SOUTH",
"identifier": "152692",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8948212",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "48212 01649",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Swannanoa, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.