Organization Active NPI

WNC Family Medical Center PLLC

  • Family Medicine Physician
  • Horse Shoe, NC
National Provider Identifier
1578739876
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Larry J Russell, M.D.NPI 1891772513
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5950066MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080717000371 NC Part B Supplier - Clinic/Group Practice 3375616733 Receives reassigned benefits from 18 practitioners
Practice locations: Horse Shoe, NC

National Provider Directory

National Provider Directory

Locations

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.

View all 20

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.

Verify at the official NPI Registry.