Organization Active NPI

Swannanoa Valley Family Medicine

  • Family Medicine Physician
  • Swannanoa, NC
National Provider Identifier
1073665337
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24779 Issued in NC
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
Last updated
Jan 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Mrs. Janey Wood Kelly, M.D.
Title
President
Phone
(828) 686-5232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 24779 NC Primary

Addresses

Primary practice location

2296 US 70 Hwy
Swannanoa, NC 28778-8209

Mailing address

2296 US 70 Hwy
Swannanoa, NC 28778-8209
Phone (828) 686-5232

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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": [],
    "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.

Verify at the official NPI Registry.