Active NPI
Dennis E Seely, P.A.
- Physician Assistant
- Marshall, NC
National Provider Identifier
1265409148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 67263
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8946980 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 67263 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Haywood Regional Medical Center LLC | Current | 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.
-
- Psychiatric Hospital Unit
- Clyde, NC
- NPI 1568618379
-
- General Acute Care Hospital
- Clyde, NC
- NPI 1811158215
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.