Individual provider Active NPI

Charles Joseph McNally, NP

  • Adult Health Nurse Practitioner
  • Hickory, NC
National Provider Identifier
1235894189
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5015197 Issued in NC
Practice address
929 15TH St NE Ste 100
Hickory, NC 28601-4162
Phone
(828) 327-6026
Fax
(828) 537-1238
NPI assigned
Nov 5, 2021
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5015197 NC Primary

Addresses

Primary practice location

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

Mailing address

1105 Fairgrove Church Rd SE
Conover, NC 28613-9090
Phone (282) 670-5518

Other practice location 1

1105 Fairgrove Church Rd SE
Conover, NC 28613-9090
Phone (828) 267-0551

Other practice location 2

PO Box 241
Catawba, NC 28609-0241
Phone (828) 302-8985

Other identifiers 1

IdentifierTypeStateIssuer
5015197OtherNCNP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212004478 NC Practitioner - Nurse Practitioner 2264875665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Frye Medical Group LLCGroup PAC ID 8123397601, 125 clinicians

Practice addresses (Care Compare)

1105 Fairgrove Church Rd SE
Conover, NC 28613-9090
Phone (828) 267-0551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Frye Medical Group LLC CurrentSince Mar 15, 2024 Accepting new patients
Clay, Wilson & Associates CurrentSince Sep 1, 2024 Accepting new patients
Clay Wilson & Associates CurrentSince Sep 1, 2024 Accepting new patients
DLP Frye Medical Group LLC Adult Health CurrentSince Mar 15, 2024 Accepting new patients

Locations

1105 Fairgrove Church Rd SE
Conover, NC 28613
Phone (828) 267-0551

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

915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005

915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458

929 15th St NE
Ste 100
Hickory, NC 28601
Phone (828) 325-0555

Interoperability endpoints

  • Direct secure messaging: charles.mcnally.1@15786.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1235894189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 FAIRGROVE CHURCH RD SE",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139090",
            "telephone_number": "282-670-5518"
        },
        {
            "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": "828-537-1238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Fairgrove Church Rd SE",
            "address_purpose": "LOCATION",
            "city": "Conover",
            "state": "NC",
            "postal_code": "286139090",
            "country_code": "US",
            "telephone_number": "828-267-0551",
            "fax_number": "828-267-0351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO Box 241",
            "address_purpose": "LOCATION",
            "city": "Catawba",
            "state": "NC",
            "postal_code": "286090241",
            "country_code": "US",
            "telephone_number": "828-302-8985",
            "fax_number": "828-537-1238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNALLY",
        "first_name": "CHARLES",
        "middle_name": "JOSEPH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-05",
        "last_updated": "2024-11-04",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5015197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP",
            "identifier": "5015197",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.