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
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 Directory

Locations

2296 US Highway 70
Swannanoa, NC 28778
Phone (828) 458-4139

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

Other identifiers 5

NPPES NPI Registry
IdentifierTypeStateIssuer
210331OtherNCCIGNA
0170087OtherNCUNITED HEALTH CARE
152692OtherNCMID SOUTH
8948212MedicaidNC
48212 01649OtherNCBCBS

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.

Verify at the official NPI Registry.