NPIMap

Organization Active NPI

Integrated Care of Greater Hickory, Inc

  • Family Medicine Physician
  • Morganton, NC
National Provider Identifier
1366972325
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INTEGRATED CARE OF GREATER HICKORY, INC
Practice address
350 E Parker Rd
Morganton, NC 28655
Phone
(828) 322-5915
Fax
(828) 345-0387
NPI assigned
Jun 13, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Corey John Richardson, DHSC, MBANPI 1952743668
Title
Ceo/President
Phone
(828) 322-5915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

350 E Parker Rd
Morganton, NC 28655

Mailing address

350 E Parker Rd
Morganton, NC 28655-5155
Phone (828) 322-5915

Other names 1

  • Rudisill Family Practice PA Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Integrated Care of Greater Hickory Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366972325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E PARKER RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555155",
            "telephone_number": "828-322-5915",
            "fax_number": "828-345-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E PARKER RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "28655",
            "telephone_number": "828-322-5915",
            "fax_number": "828-345-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED CARE OF GREATER HICKORY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "828-322-5915",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DHSC, MBA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rudisill Family Practice PA",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Rudisill Family Practice PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.