Active NPI
Wilkes Physician Network, Inc.
Doing business as Wilkes Family Health Center
- Family Medicine Physician
- North Wilkesboro, NC
National Provider Identifier
1407177199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WILKES PHYSICIAN NETWORK, INC.
- Doing business as
- Wilkes Family Health Center
- Practice address
- 1534 W D St
North Wilkesboro, NC 28659-3528 - Phone
- (336) 667-4178
- Fax
- (336) 667-0938
- NPI assigned
- Jun 16, 2010
- Last updated
- Mar 2, 2011
- Organization subpart
- Yes
- Parent organization
- WILKES PHYSICIAN NETWORK, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frieda M Lowder
- Title
- Sr. Vice President
- Phone
- (704) 403-4146
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1534 W D St
North Wilkesboro, NC 28659-3528
Mailing address
1534 W D St
North Wilkesboro, NC 28659-3528
Phone (336) 667-4178
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5916110 | Medicaid | NC | |
| 2335816 | Other | NC | MEDICARE PTAN, GROUP |
Other names 1
- Wilkes Family Health Center
National Provider Directory
National Provider Directory- Part of
- Wilkes Physician Network in
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Surgery Physician
- North Wilkesboro, NC
- NPI 1215192893
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Orthopaedic Surgery Physician
- North Wilkesboro, NC
- NPI 1295853018
-
- Surgery Physician
- North Wilkesboro, NC
- NPI 1104894955
-
- Nurse Practitioner
- North Wilkesboro, NC
- NPI 1255311320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299024000000",
"number": "1407177199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1534 W D ST",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286593528",
"telephone_number": "336-667-4178",
"fax_number": "336-667-0938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1534 W D ST",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286593528",
"telephone_number": "336-667-4178",
"fax_number": "336-667-0938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILKES PHYSICIAN NETWORK, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WILKES PHYSICIAN NETWORK, INC.",
"enumeration_date": "2010-06-16",
"last_updated": "2011-03-02",
"status": "A",
"authorized_official_last_name": "LOWDER",
"authorized_official_first_name": "FRIEDA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SR. VICE PRESIDENT",
"authorized_official_telephone_number": "704-403-4146"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5916110",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN, GROUP",
"identifier": "2335816",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wilkes Family Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Wilkesboro, NC
- Wilkes Physician Network, Inc. (Wilkes Regional Surgical Specialists)
- Wilkes Physician Network, Inc. (Wilkes Regional ENT & Sleep Medicine)
- Wilkes Physician Network, Inc. (Wilkes Regional Family Medicine)
- Wilkes Physician Network, Inc. (Carolinas Hospitalist Group-Wilkes)
- Wilkes Physician Network, Inc. (Wilkes Regional Hospitalist Group)
- Wilkes Physician Network, Inc. (Urgent Care of Wilkes)
- Wilkes Physician Network, Inc. (Wound Healing Center of Wilkes Regional Medical Center)
- Wilkes Physician Network, Inc. (Orthopaedic Specialists of Wilkes)
- Wilkes Physician Network, Inc. (Wilkes Regional Gastroenterology)
- Wilkes Physician Network, Inc. (Greenway Healthcare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.