Active NPI
Appalachian Family Practice, PA
- Family Medicine Physician
- Boone, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- APPALACHIAN FAMILY PRACTICE, PA
- Practice address
- 1879 Old 421 South
Boone, NC 28607-6293 - Phone
- (828) 262-1011
- Fax
- (828) 262-5695
- NPI assigned
- Aug 14, 2006
- Last updated
- Mar 3, 2008
- 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
- Timothy P Dailey, MD
- Title
- Owner
- Phone
- (828) 262-1011
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 | Primary |
Addresses
Primary practice location
1879 Old 421 South
Boone, NC 28607-6293
Mailing address
1879 Old 421 South
Boone, NC 28607-6293
Phone (828) 262-1011
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135VG | Other | NC | BCBS |
| 89135VG | Medicaid | NC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D1021810 | Appalachian Family Practice | Certificate of waiver | Feb 1, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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 Medicine Physician
- Boone, NC
- NPI 1164432399
-
- Family Nurse Practitioner
- Boone, NC
- NPI 1033432711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204502400000",
"number": "1609889328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1879 OLD 421 SOUTH",
"city": "BOONE",
"state": "NC",
"postal_code": "286076293",
"telephone_number": "828-262-1011",
"fax_number": "828-262-5695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1879 OLD 421 SOUTH",
"city": "BOONE",
"state": "NC",
"postal_code": "286076293",
"telephone_number": "828-262-1011",
"fax_number": "828-262-5695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APPALACHIAN FAMILY PRACTICE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-14",
"last_updated": "2008-03-03",
"status": "A",
"authorized_official_last_name": "DAILEY",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "828-262-1011",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "135VG",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89135VG",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boone, NC
- Isabella Rose Andrews, PHARMD
- Robert Bruce Angle III, LPC
- Appalachian District Health Department
- Appalachian District Health Dept (AppHealthCare)
- Appalachian Family Chiropractic, PLLC
- Appalachian Gastroenterology PA
- Appalachian Gastroenterology PA
- Appalachian Home Care LLC
- Appalachian Internal Medicine, PLLC
- Appalachian Regional Medical Associates (Appalachian Regional Obstetrics and Gynecology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.