Organization Active NPI

DLP Graystone Family Practice Associates LLC

  • Family Medicine Physician
  • Conover, NC
National Provider Identifier
1124483607
Registry record updated Jan 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DLP GRAYSTONE FAMILY PRACTICE ASSOCIATES LLC
Practice address
3511 Graystone PL SE
Conover, NC 28613-8201
Phone
(615) 920-7000
NPI assigned
Dec 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2016

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

Authorized official

Name
Jess N Judy
Title
President
Phone
(615) 920-7000

Specialties & licenses 1

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

Addresses

Primary practice location

3511 Graystone PL SE
Conover, NC 28613-8201

Mailing address

3511 Graystone PL SE
Conover, NC 28613-8201
Phone (615) 920-7000

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451779200000",
    "number": "1124483607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 GRAYSTONE PL SE",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138201",
            "telephone_number": "615-920-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 GRAYSTONE PL SE",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138201",
            "telephone_number": "615-920-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLP GRAYSTONE FAMILY PRACTICE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2016-01-03",
        "status": "A",
        "authorized_official_last_name": "JUDY",
        "authorized_official_first_name": "JESS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conover, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2016; 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.