Active NPI
Freddy Morris Creekmore, PA-C
- Physician Assistant
- Wilkesboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-08618
- Practice address
- 1600 River St
Wilkesboro, NC 28697-7630 - Phone
- (336) 646-7272
- NPI assigned
- Jan 10, 2013
- Last updated
- Apr 15, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110006193 | VA | |
| Physician Assistant | 363A00000X | 0010-08618 | NC | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | 9987 | KY | |
| Pharmacotherapy Pharmacist | 1835P1200X | 31759 | TN | |
| Pharmacotherapy Pharmacist | 1835P1200X | 1523731701 | UT |
Addresses
Primary practice location
1600 River St
Wilkesboro, NC 28697-7630
Mailing address
1600 River St
Wilkesboro, NC 28697-7630
Phone (336) 646-7272
Other practice location 1
807 University Pkwy
Johnson City, TN 37614
Phone (423) 439-2083
Other practice location 2
103 Medical Heights Dr
Morganton, NC 28655
Phone (828) 437-4211
Other practice location 3
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
262 Leroy George Dr
Clyde, NC 28721-7430
Phone (828) 456-7311
509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-1111
615 Ridge Rd
Roxboro, NC 27573-4629
Phone (336) 599-2121
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.39 of 100
- Quality
- 77.7
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9987 | KY | MD | Pharmacotherapy Pharmacist |
| 31759 | TN | MD | Pharmacotherapy Pharmacist |
| 1523731701 | UT | MD | Pharmacotherapy Pharmacist |
| 0010-08618 | NC | MD | Physician Assistant |
| 0110006193 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Community Anesthesiology Specialists LLC | Current | Accepting new patients | |
| Mission Community Anesthesiology Specialists LLC | Current | Accepting new patients | |
| Emergency Coverage Services, PC | Physician Assistant | Past | Accepting new patients |
| Theoria Medical | Physician Assistant | Past | Accepting new patients |
Locations
509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325
70 Sweeten Creek Rd
Asheville, NC 28803
Phone (828) 274-7645
800 Medical Campus Dr
Burnsville, NC 28714
Phone (828) 682-0200
262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210
189 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 682-0200
Organizations & group practices 11
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.
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
NC
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
NC
-
- Anesthesiology Physician
- Asheville, NC
- NPI 1457719130
-
- Hospitalist Physician
- Shelbyville, TN
- NPI 1396160768
-
dba Big South Fork Medical Center
- Emergency Medicine Physician
- Oneida, TN
- NPI 1124536990
-
- Emergency Medicine Physician
- Norton, VA
- NPI 1386183028
-
- Urology Physician
- Asheville, NC
- NPI 1235609470
-
- Certified Respiratory Therapist
- Asheville, NC
- NPI 1528538766
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
Physician Assistant
-
dba Theoria Primary Care
- Internal Medicine Physician
- Brighton, MI
- NPI 1164186946
Physician Assistant
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Haywood Regional Medical Center
- General Acute Care Hospital
- Clyde, NC
- NPI 1811158215
-
dba Mission Hospital
- General Acute Care Hospital
- Asheville, NC
- NPI 1962987677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1255678280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 RIVER ST",
"city": "WILKESBORO",
"state": "NC",
"postal_code": "286977630",
"telephone_number": "336-646-7272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 RIVER ST",
"city": "WILKESBORO",
"state": "NC",
"postal_code": "286977630",
"telephone_number": "336-646-7272"
}
],
"practiceLocations": [
{
"address_1": "807 University Pkwy",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "37614",
"country_code": "US",
"telephone_number": "423-439-2083",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "103 Medical Heights Dr",
"address_purpose": "LOCATION",
"city": "Morganton",
"state": "NC",
"postal_code": "28655",
"country_code": "US",
"telephone_number": "828-437-4211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271570001",
"country_code": "US",
"telephone_number": "336-716-2255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CREEKMORE",
"first_name": "FREDDY",
"middle_name": "MORRIS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-10",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110006193",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-08618",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "KY",
"license": "9987",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "TN",
"license": "31759",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "UT",
"license": "1523731701",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilkesboro, NC
- Tonya Cook
- County of Wilkes (Wilkes County Health Department)
- County of Wilkes (Wilkes County Emergency Medical Services)
- County of Wilkes (Wilkes County DSS)
- Shannon Dixon Cox, LCMHC
- Curis at Wilkesboro Opco LLC (Curis at Wilkesboro Transitional Care & Rehabilitation Center)
- Kenneth Frank Curl, M.D.
- Jazmin Diana David
- Daymark Recovery Services Inc
- Dominique Natural Health Inc. (Holistic Medical Clinic of the Carolinas)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.