Active NPI
Neurology Associates of North Carolina PLLC
- Neurology Physician
- Elkin, NC
National Provider Identifier
1457542607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 2007-00146
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5906343 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
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.