Active NPI
Thomas Philmore Dellinger IV
- Athletic Trainer
- Banner Elk, NC
National Provider Identifier
1114725413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000033850
- Practice address
- 191 Main St
Banner Elk, NC 28604-9626 - Phone
- (828) 898-5241
- NPI assigned
- Mar 4, 2025
- Last updated
- Mar 4, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2000033850 | NC | Primary |
Addresses
Primary practice location
191 Main St
Banner Elk, NC 28604-9626
Mailing address
277 Johnson LN
Crosssnore, NC 28616
Phone (828) 260-2076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000033850 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1114725413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 JOHNSON LN",
"city": "CROSSSNORE",
"state": "NC",
"postal_code": "28616",
"telephone_number": "828-260-2076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 MAIN ST",
"city": "BANNER ELK",
"state": "NC",
"postal_code": "286049626",
"telephone_number": "828-898-5241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLINGER",
"first_name": "THOMAS",
"middle_name": "PHILMORE",
"name_suffix": "IV",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-04",
"last_updated": "2025-03-04",
"certification_date": "2025-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "2000033850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Banner Elk, NC
- Consolidated Resources Health Care Fund I, L.P. (Life Care Center of Banner Elk)
- Roberta Spencer Cook, M.D.
- Matthew Lee Cooper
- Arianne Marie Davis, LAT, ATC
- Taelor McKenzie Deike, FNP
- Alfred Douglas Earwood, MD
- Michelle Leigh Eggers
- Katherine Kragiel Elder, LCSW
- Elizabeth B. Hill, M.D., PLLC
- Elk River Medical Associates, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.