Active NPI
WNC Family Medical Center PLLC
- Family Medicine Physician
- Horse Shoe, NC
National Provider Identifier
1578739876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WNC FAMILY MEDICAL CENTER PLLC
- Practice address
- 442 Battle Creek Rd
Horse Shoe, NC 28742-4722 - Phone
- (828) 753-9194
- Fax
- (828) 693-4871
- NPI assigned
- May 6, 2008
- Last updated
- Jul 14, 2026
- 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
- Larry J Russell, M.D.
- Title
- Owner
- Phone
- (828) 753-9194
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
442 Battle Creek Rd
Horse Shoe, NC 28742-4722
Mailing address
442 Battle Creek Rd
Horse Shoe, NC 28742-4722
Phone (828) 753-9194
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5950066 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
25 Shields Dr
Tryon, NC 28782
Phone (828) 859-0122
Practitioners & affiliated clinicians
Practitioners 20
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.
-
- Family Nurse Practitioner
- Hendersonville, NC
- NPI 1417083874
-
- Family Nurse Practitioner
- Hendersonville, NC
- NPI 1477833473
-
- Family Nurse Practitioner
- Horse Shoe, NC
- NPI 1073189916
-
- Family Medicine Physician
- Horse Shoe, NC
- NPI 1891772513
-
- Family Medicine Physician
- Hendersonville, NC
- NPI 1083654248
-
- Family Nurse Practitioner
- Hendersonville, NC
- NPI 1558674648
-
- Geriatric Medicine (Internal Medicine) Physician
- Horse Shoe, NC
- NPI 1558459958
-
- Family Nurse Practitioner
- Hendersonville, NC
- NPI 1891732491
-
- Family Medicine Physician
- Hendersonville, NC
- NPI 1457465742
-
- Family Nurse Practitioner
- Hendersonville, NC
- NPI 1427833789
-
- Family Medicine Physician
- Hendersonville, NC
- NPI 1134105406
-
- Nurse Practitioner
- Hendersonville, NC
- NPI 1275514614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783987200000",
"number": "1578739876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "442 BATTLE CREEK RD",
"city": "HORSE SHOE",
"state": "NC",
"postal_code": "287424722",
"telephone_number": "828-753-9194",
"fax_number": "828-693-4871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "442 BATTLE CREEK RD",
"city": "HORSE SHOE",
"state": "NC",
"postal_code": "287424722",
"telephone_number": "828-753-9194",
"fax_number": "828-693-4871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WNC FAMILY MEDICAL CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-06",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "828-753-9194",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5950066",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Horse Shoe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.