Appalachian Primary Care, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

APPALACHIAN PRIMARY CARE, PLLC

Practice address

107 Haywood Park Dr
Clyde, NC 28721-4405

Phone

(828) 237-8001

Fax

(828) 237-8002

NPI assigned

Oct 5, 2022

Last updated

Oct 10, 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

Travis M Hecker, MDNPI 1699979518

Title

Owner/Ceo

Phone

(828) 237-8001

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glen R. Liesegang, M. D.

  • Family Medicine Physician
  • Patterson, NC
  • NPI 1174584866
  Medicare reassignment Care Compare group NPD
• Laurie Shirey, FNP-C

  • Family Nurse Practitioner
  • Asheville, NC
  • NPI 1215489968
  Medicare reassignment Care Compare group NPD
• Travis M Hecker, MD

  • Anesthesiology Physician
  • Summit, WI
  • NPI 1699979518

  NC

  Medicare reassignment NPD Authorized official
• Kayla Elizabeth Gregg, PA-C

  • Physician Assistant
  • Weaverville, NC
  • NPI 1649791914
  Medicare reassignment Care Compare group
• Kelsey Toliver Watts, DNP, FNP-BC

  • Family Nurse Practitioner
  • Lenoir, NC
  • NPI 1669158010
  NPD (past)

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1184349987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HAYWOOD PARK DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287214405",
            "telephone_number": "828-237-8001",
            "fax_number": "828-237-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HAYWOOD PARK DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287214405",
            "telephone_number": "828-237-8001",
            "fax_number": "828-237-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "HECKER",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "828-237-8001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Almeida, CSAC
• Melissa Ann Altamirano, FNP
• Susan Joy Altermatt, FNP
• Beverly Altman, BA
• Misty Michelle Annarino, LCMHC/LCAS
• Sharon Arnold, PT
• Aspire Youth & Family, Inc.
• Aspire Youth & Family, Inc.
• Aspire Youth & Family, Inc.
• Omar Assasa

• Internal Medicine Physician in Clyde, NC
• Providers in Clyde, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.