Davidson River Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DAVIDSON RIVER FAMILY MEDICINE PLLC

Practice address

317 Chestnut St
Brevard, NC 28712-3898

Phone

(828) 226-1980

Fax

(949) 404-6183

NPI assigned

Feb 11, 2019

Organization subpart

Yes

Parent organization

DAVIDSON RIVER FAMILY MEDICINE PLLCAs reported in NPPES

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

Authorized official

Name

Thomas Fowler Lindsay, MDNPI 1982647657

Title

Owner

Phone

(828) 226-1980

Specialties & licenses 1

Addresses

Other names 1

• Davidson River Recovery Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

Davidson River Family Med

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Fowler Lindsay, MD

  • Family Medicine Physician
  • Brevard, NC
  • NPI 1982647657
  Medicare reassignment Authorized official
• Nancy Booth-Long, FNP-C

  • Family Nurse Practitioner
  • Brevard, NC
  • NPI 1649700733
  NPD (past)
• Bessie Lynn Smith

  • Peer Specialist
  • Brevard, NC
  • NPI 1013767250
  NPD (past)

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1376009787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E MAIN ST",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123834",
            "telephone_number": "828-226-1980",
            "fax_number": "949-404-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 CHESTNUT ST",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123898",
            "telephone_number": "828-226-1980",
            "fax_number": "949-404-6183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 Franklin Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NC",
            "postal_code": "287343249",
            "country_code": "US",
            "telephone_number": "828-226-1980",
            "fax_number": "949-404-6183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAVIDSON RIVER FAMILY MEDICINE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVIDSON RIVER FAMILY MEDICINE PLLC",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "LINDSAY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "FOWLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-226-1980",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davidson River Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Karen Spiegelberg Davis, DCN, CNS, LN, LDN
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• Family Medicine Physician in Brevard, NC
• Providers in Brevard, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.