NPIMap

Organization Active NPI

Clay, Wilson & Associates

  • Family Medicine Physician
  • Hickory, NC
National Provider Identifier
1194351536
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CLAY, WILSON & ASSOCIATES
Practice address
929 15TH St NE Ste 100
Hickory, NC 28601-4162
Phone
(828) 327-6026
Fax
(828) 327-8796
NPI assigned
Mar 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Julie Walker
Title
Ceo
Phone
(828) 256-3436

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

929 15TH St NE Ste 100
Hickory, NC 28601-4162

Mailing address

4330 Viola Sipe Dr
Conover, NC 28613-8839
Phone (828) 256-3436

Other identifiers 1

IdentifierTypeStateIssuer
6005415MedicaidNC

Other names 1

  • The Cognitive Connection Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1194351536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 VIOLA SIPE DR",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138839",
            "telephone_number": "828-256-3436",
            "fax_number": "828-256-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 15TH ST NE STE 100",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014162",
            "telephone_number": "828-327-6026",
            "fax_number": "828-327-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY, WILSON & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-256-3436"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005415",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Cognitive Connection",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Cognitive Connection",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.