DLP Hickory Family Practice Associates LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DLP HICKORY FAMILY PRACTICE ASSOCIATES LLC

Doing business as

FryeCare Sports Concussion Clinic

Practice address

52 12TH Ave NE
Hickory, NC 28601-2798

Phone

(828) 328-2941

Fax

(828) 328-4049

NPI assigned

Jun 26, 2017

Last updated

Jun 26, 2017By 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

Sara L Miller

Title

Director

Phone

(615) 920-7514

Specialties & licenses 2

Addresses

Other names 1

• FryeCare Sports Concussion Clinic Doing business as

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498435200000",
    "number": "1235659707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 12TH AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012798",
            "telephone_number": "828-328-2941",
            "fax_number": "828-328-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLP HICKORY FAMILY PRACTICE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-06-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-920-7514"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FryeCare Sports Concussion Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FryeCare Sports Concussion Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• DLP Frye Regional Medical Center LLC (Frye Regional Medical Center)
• DLP Frye Regional Medical Center LLC (Frye Regional Medical Center)
• DLP Frye Regional Medical Center LLC (Frye Hospital Professionals)
• DLP Frye Regional Medical Center LLC (Frye Regional Medical Center)
• DLP Frye Regional Physician Practices LLC
• DLP Hickory Family Practice Associates LLC
• DME Specialists LLC
• Barbara Dodson, CRNA
• Don L. Hoover, M.D., P.a. (Mountain VIew Family Practice)
• Donald L.Culbreth DDS

• Family Medicine Physician in Hickory, NC
• Providers in Hickory, 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 Jun 26, 2017; 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.