NPIMap

Organization Active NPI

WNC Internal Medicine, PLLC

  • Internal Medicine Physician
  • Sylva, NC
National Provider Identifier
1467435040
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20370 Issued in NC
Legal business name
WNC INTERNAL MEDICINE, PLLC
Doing business as
WNC Internal Medicine, PLLC
Practice address
98 Cope Creek Rd Ste a-B
Sylva, NC 28779-9508
Phone
(828) 586-7798
Fax
(866) 282-0679
NPI assigned
Nov 28, 2005
Last updated
Apr 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Melissa Queen
Title
Office Manager
Phone
(828) 586-7796

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20370 NC Primary
Pediatrics Physician 208000000X 00220 NC
Psychiatry Physician 2084P0800X 200500976 NC

Addresses

Primary practice location

98 Cope Creek Rd Ste a-B
Sylva, NC 28779-9508

Mailing address

98 Cope Creek Rd Ste a-B
Sylva, NC 28779-9508
Phone (828) 586-7798

Other identifiers 2

IdentifierTypeStateIssuer
011T8OtherNCBCBS PROVIDER NUMBER
89011T8MedicaidNC

Other names 1

  • WNC Internal Medicine, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051103000728 NC Part B Supplier - Clinic/Group Practice 8527086099 Receives reassigned benefits from 13 practitioners
Practice locations: Sylva, NC
O20240212000786 NC Part B Supplier - Clinic/Group Practice 4284019688 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wilmington, NC; Sylva, NC; Raleigh, NC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0968864WNC Internal Medicine, PLLC98 Cope Creek Road Suite a-B, Sylva, NC 28779Certificate of waiverJun 23, 2028

National Provider Directory

National Provider Directory
Tax ID family
Only One Hub2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

63 Healthcare Dr
Sylva, NC 28779
Phone (828) 586-7796

98 Cope Creek Rd
Ste Ab
Sylva, NC 28779
Phone (828) 586-7798

Interoperability endpoints

  • Direct secure messaging: admin@wncinternal.e-mdsdirect.com
  • Direct secure messaging: cheryl-owen@wncinternal.e-mdsdirect.com
  • Direct secure messaging: emily-shuler@wncinternal.e-mdsdirect.com
  • FHIR API: https://api.platform.athenahealth.com/19372/brand/1/csg/1/fhir/r4
  • Direct secure messaging: margaret-tolley@wncinternal.e-mdsdirect.com
  • Direct secure messaging: ofelia-balta@wncinternal.e-mdsdirect.com
  • Direct secure messaging: thomas-wolf@wncinternal.e-mdsdirect.com

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1467435040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 COPE CREEK RD STE A-B",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287799508",
            "telephone_number": "828-586-7798",
            "fax_number": "866-282-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 COPE CREEK RD STE A-B",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287799508",
            "telephone_number": "828-586-7798",
            "fax_number": "866-282-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WNC INTERNAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "QUEEN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "828-586-7796"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "20370",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "00220",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200500976",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "011T8",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011T8",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WNC Internal Medicine, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WNC Internal Medicine, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylva, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.