Organization Active NPI

Macon Family Medical Care, PLLC

  • Family Medicine Physician
  • Franklin, NC
National Provider Identifier
1093480964
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MACON FAMILY MEDICAL CARE, PLLC
Practice address
36 Westgate PLZ
Franklin, NC 28734-1422
Phone
(828) 576-7058
Fax
(828) 419-7721
NPI assigned
Aug 12, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Jason Douglas Creel, DONPI 1578523916
Title
Physician Ceo
Phone
(828) 576-7058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211014002430 NC Part B Supplier - Clinic/Group Practice 3173921509 Receives reassigned benefits from 2 practitioners
Practice locations: Franklin, NC

National Provider Directory

National Provider Directory

Locations

36 Westgate Plz
Franklin, NC 28734
Phone (828) 349-8288

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

36 Westgate PLZ
Franklin, NC 28734-1422

Mailing address

36 Westgate PLZ
Franklin, NC 28734-1422
Phone (828) 576-7058

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 5, 2023.

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1093480964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WESTGATE PLZ",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287341422",
            "telephone_number": "828-576-7058",
            "fax_number": "828-419-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WESTGATE PLZ",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287341422",
            "telephone_number": "828-576-7058",
            "fax_number": "828-419-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACON FAMILY MEDICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "CREEL",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PHYSICIAN  CEO",
        "authorized_official_telephone_number": "828-576-7058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.