Individual provider Active NPI

Wesley Neel Reid, PA

  • Physician Assistant
  • Hickory, NC
National Provider Identifier
1477517159
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103251 Issued in NC
Practice address
52 12TH Ave NE
Hickory, NC 28601
Phone
(828) 328-2941
Fax
(828) 328-4049
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 103251 NC Primary

Addresses

Primary practice location

52 12TH Ave NE
Hickory, NC 28601

Mailing address

52 12TH Ave NE
Hickory, NC 28601-2798
Phone (828) 328-2941

Other identifiers 1

IdentifierTypeStateIssuer
1477517159MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100430000455 NC Practitioner - Physician Assistant 8729115316 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital, Inc. Current Accepting new patients
DLP Frye Medical Group LLC CurrentSince Aug 1, 2017 Accepting new patients
DLP Frye Medical Group LLC CurrentSince Aug 1, 2017 Accepting new patients
Cardiology Physicians Corporation, LLC Past Accepting new patients
DLP Frye Medical Group LLC Physician Assistant Past Accepting new patients

Locations

1771 Tate Blvd SE
Ste 201
Hickory, NC 28602
Phone (828) 324-4804

30 13th Ave NW
Hickory, NC 28601
Phone (828) 324-0100

52 12th Ave NE
Hickory, NC 28601
Phone (828) 328-2941

915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005

915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458

2660 Tate Blvd SE
Hickory, NC 28602
Phone (828) 261-0009

1470 E Gaston St
Ste 300
Lincolnton, NC 28092
Phone (704) 735-7474

Interoperability endpoints

  • Direct secure messaging: wesley.reid.1@15786.direct.athenahealth.com
  • Direct secure messaging: wesley.reid.1@14667.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1477517159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 12TH AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012798",
            "telephone_number": "828-328-2941",
            "fax_number": "828-328-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 12TH AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "28601",
            "telephone_number": "828-328-2941",
            "fax_number": "828-328-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "WESLEY",
        "middle_name": "NEEL",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477517159",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.