Active NPI
Fryecare Northwest Hickory, LLC
- Family Medicine Physician
- Hickory, NC
National Provider Identifier
1376958827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FRYECARE NORTHWEST HICKORY, LLC
- Practice address
- 915 Tate Blvd SE
Suite 186 SE
Hickory, NC 28602-4042 - Phone
- (828) 449-8458
- Fax
- (828) 323-8348
- NPI assigned
- Jun 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Wesley O. James
- Title
- Regional Cfo, Tenet
- Phone
- (404) 265-5009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
915 Tate Blvd SE
Suite 186 SE
Hickory, NC 28602-4042
Mailing address
PO Box 742904
Atlanta, GA 30374-2904
Phone (828) 449-8458
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465257600000",
"number": "1376958827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742904",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742904",
"telephone_number": "828-449-8458",
"fax_number": "828-323-8348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 TATE BLVD SE",
"address_2": "SUITE 186 SE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286024042",
"telephone_number": "828-449-8458",
"fax_number": "828-323-8348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRYECARE NORTHWEST HICKORY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-24",
"last_updated": "2016-06-07",
"status": "A",
"authorized_official_last_name": "JAMES",
"authorized_official_first_name": "WESLEY",
"authorized_official_middle_name": "O.",
"authorized_official_title_or_position": "REGIONAL CFO, TENET",
"authorized_official_telephone_number": "404-265-5009",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.