Organization Active NPI

Neurology Associates of North Carolina PLLC

  • Neurology Physician
  • Elkin, NC
National Provider Identifier
1457542607
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2007-00146 Issued in NC
Legal business name
NEUROLOGY ASSOCIATES OF NORTH CAROLINA PLLC
Practice address
101B Eldon Parks Dr
Elkin, NC 28621-2455
Phone
(336) 835-2038
Fax
(336) 835-4221
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
William E. Drew, MD
Title
Owner
Phone
(336) 835-2038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 2007-00146 NC Primary

Addresses

Primary practice location

101B Eldon Parks Dr
Elkin, NC 28621-2455

Mailing address

101B Eldon Parks Dr
Elkin, NC 28621-2455
Phone (336) 835-2038

Other identifiers 1

IdentifierTypeStateIssuer
5906343MedicaidNC

National Provider Directory

National Provider Directory

Locations

340 Parkwood Medical Park
Elkin, NC 28621
Phone (336) 835-2038

101 Eldon Parks Dr
Ste B
Elkin, NC 28621
Phone (336) 526-0188

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1457542607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101B ELDON PARKS DR",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212455",
            "telephone_number": "336-835-2038",
            "fax_number": "336-835-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101B ELDON PARKS DR",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212455",
            "telephone_number": "336-835-2038",
            "fax_number": "336-835-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY ASSOCIATES OF NORTH CAROLINA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "DREW",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-835-2038",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2007-00146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906343",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.