Nicholas Vernon, DO
Individual provider Active NPI Family Medicine Physician · Ronda, NC
NPI 1285212985 · NPPES record last updated Jun 11, 2024
Key facts
- NPI
- 1285212985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2024-00539 (NC)
- Practice address
- 3369 Clingman Rd
Ronda, NC 28670-8708 - Phone
- (336) 984-3003
- NPI assigned
- Apr 1, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Liberty Univ College of Osteopathic Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hugh Chatham Memorial Hospital, Inc.
Practice addresses (Care Compare)
5229 Rock Creek Rd
Hays, NC 28635-9267
Phone (336) 696-2711
Hospital & facility affiliations
- Yadkin Valley Home Health
- Wake Forest Baptist Health Care at Home, LLC
- Hugh Chatham Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240801000268 | NC | Practitioner - Family Practice | 6608225651 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024-00539 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hugh Chatham Memorial Hospital, Inc | Current |
Accepting new patients | |
| Hugh Chatham Memorial Hospital, Inc. | Family Medicine | Current |
Accepting new patients |
| Hugh Chatham Memorial Hospital, Inc | Family Medicine | Past | Accepting new patients |
| Hugh Chatham Memorial Hospital, Inc | Past | Accepting new patients | |
| Hugh Chatham Memorial Hospital, Inc. | Family Medicine | Past | Accepting new patients |
Locations
911 E Atkins St
#D
Dobson, NC 27017
Phone (336) 374-1010
360 Parkwood Medical Park
Elkin, NC 28621
Phone (336) 527-5960
200 Johnson Ridge Medical Park
Elkin, NC 28621
Phone (336) 526-0040
600 Chatham Medical Park
Elkin, NC 28621
Phone (336) 527-7000
631 CC Camp Rd
Elkin, NC 28621
Phone (336) 366-1072
5229 Rock Creek Rd
Hays, NC 28635
Phone (336) 696-2711
546 Winston Rd
Jonesville, NC 28642
Phone (336) 526-0037
3369 Clingman Rd
Ronda, NC 28670
Phone (336) 984-3003
Interoperability endpoints
- nvernon@clingmanmedicalcenter.gwaydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2024-00539 | NC | Yes |
Addresses
Primary practice location
3369 Clingman Rd
Ronda, NC 28670-8708
Mailing address
3369 Clingman Rd
Ronda, NC 28670-8708
Phone (336) 984-3003
Other providers in Ronda, NC
- Rha Health Services Inc
- Lora Michelle Salley
- Jordan Nicole Shore
- Alexander B Snyder
- Tri County Family Medicine
All providers in Ronda, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.