Wilkes Family Health Center, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

103388 Issued in NC

Legal business name

WILKES FAMILY HEALTH CENTER, PA

Practice address

1534 W D St
N Wilkesboro, NC 28659-3528

Phone

(336) 667-4178

Fax

(336) 667-0938

NPI assigned

Jul 12, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Grace S Lambert

Title

Manager

Phone

(336) 667-4178

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154329365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 W D ST",
            "city": "N WILKESBORO",
            "state": "NC",
            "postal_code": "286593528",
            "telephone_number": "336-667-4178",
            "fax_number": "336-667-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 W D ST",
            "city": "N WILKESBORO",
            "state": "NC",
            "postal_code": "286593528",
            "telephone_number": "336-667-4178",
            "fax_number": "336-667-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES FAMILY HEALTH CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-667-4178"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "103388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089012U7",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "D0277V",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Ward
• Jerry Franklin Watson, MD
• West Park Chiropractic
• Margretta E Wheeler, LPC
• Wilkes Dental Consortium Inc (Wilkes Public Health Dental Clinic)
• Wilkes Hospital Operating Corporation (Wilkes Regional Medical Center)
• Wilkes Senior Resources, Inc.
• Wilkes Womens Care, PA
• Robert A. Willis, MA
• He Xiao

• Family Medicine Physician in N Wilkesboro, NC
• Providers in N Wilkesboro, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.