Organization Active NPI

Physician Care Direct, LLC

  • Corporate Health Clinic/Center
  • Blowing Rock, NC
National Provider Identifier
1619453537
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
Legal business name
PHYSICIAN CARE DIRECT, LLC
Doing business as
EHOP HEALTH
Practice address
223 Wonderland TRL
Blowing Rock, NC 28605-6376
Phone
(855) 723-2300
NPI assigned
Jul 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Authorized official

Name
Dr. William Thomas Lawson Jr., MD
Title
Ceo
Phone
(855) 723-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X Primary

Addresses

Primary practice location

223 Wonderland TRL
Blowing Rock, NC 28605-6376

Mailing address

1457 Kelly Rd # 112
Apex, NC 27502-9572
Phone (855) 723-2300

Other names 2

  • EHOP HEALTH Doing business as
  • INNOVADOC, LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1619453537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1457 KELLY RD # 112",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275029572",
            "telephone_number": "855-723-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 WONDERLAND TRL",
            "city": "BLOWING ROCK",
            "state": "NC",
            "postal_code": "286056376",
            "telephone_number": "855-723-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN CARE DIRECT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-723-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EHOP HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "INNOVADOC, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Blowing Rock, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.