New River Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9501387 Issued in NC

Legal business name

NEW RIVER FAMILY MEDICINE

Practice address

12 Willis St
Suite C
Sparta, NC 28675-9220

Phone

(336) 372-4644

Fax

(336) 372-7453

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Allen Ray, MD

Title

President

Phone

(336) 372-4644

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1225258080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WILLIS ST",
            "address_2": "SUITE C",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286759220",
            "telephone_number": "336-372-4644",
            "fax_number": "336-372-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WILLIS ST",
            "address_2": "SUITE C",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286759220",
            "telephone_number": "336-372-4644",
            "fax_number": "336-372-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW RIVER FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-372-4644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9501387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "40023",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0297Q",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890297Q",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "16069",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Services of America Inc (Medi Home Care)
• Cassandra Miller, LPN
• Karington Murphy
• NC Pacs 2 PC
• New River Cottage, Inc.
• New River Mental Health Center (New River Behavioral HealthCare)
• New River Service Authority
• Northland Hearing Center, Inc. (Best Value Hearing Center Sparta)
• Oliver Optometric Eye Care
• Logan Oliver, OD

• Family Medicine Physician in Sparta, NC
• Providers in Sparta, 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 May 6, 2008; 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.