Individual provider Active NPI

Dennis E Seely, P.A.

  • Physician Assistant
  • Marshall, NC
National Provider Identifier
1265409148
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
67263 Issued in NC
Practice address
590 Medical Park Drive
Marshall, NC 28753
Phone
(828) 649-0800
Fax
(828) 649-1032
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 67263 NC Primary

Addresses

Primary practice location

590 Medical Park Drive
Marshall, NC 28753

Mailing address

590 Medical Park Drive
Marshall, NC 28753
Phone (828) 649-0800

Other identifiers 1

IdentifierTypeStateIssuer
8946980MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051205000600 NC Practitioner - Physician Assistant 0648290759 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
67263NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Haywood Regional Medical Center LLC CurrentSince Oct 28, 2023 Accepting new patients
DLP Haywood Regional Medical Center LLC. Past Accepting new patients

Locations

55 Buckeye Cove Rd
Canton, NC 28716
Phone 8284525042136

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1265409148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 MEDICAL PARK DRIVE",
            "city": "MARSHALL",
            "state": "NC",
            "postal_code": "28753",
            "telephone_number": "828-649-0800",
            "fax_number": "828-649-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MEDICAL PARK DRIVE",
            "city": "MARSHALL",
            "state": "NC",
            "postal_code": "28753",
            "telephone_number": "828-649-0800",
            "fax_number": "828-649-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEELY",
        "first_name": "DENNIS",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "67263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8946980",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.