Henry Ronald Emery Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200300594 Issued in NC

Practice address

1928 Weddington Rd
Weddington, NC 28104-8318

Phone

(704) 667-4280

Fax

(704) 667-4281

NPI assigned

Jan 24, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Liberty Family Physicians

  • Family Medicine Physician
  • Weddington, NC
  • NPI 1659775500
  Authorized official Same address or phone
• Washington County Healthcare Authority, Inc

  dba Washington County Physicians

  • General Practice Physician
  • Chatom, AL
  • NPI 1437330438
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1639149552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 WEDDINGTON RD",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "281048318",
            "telephone_number": "704-844-0505",
            "fax_number": "704-844-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 WEDDINGTON RD",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "281048318",
            "telephone_number": "704-667-4280",
            "fax_number": "704-667-4281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 Sixth Baxter Xing",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297086596",
            "country_code": "US",
            "telephone_number": "803-396-8100",
            "fax_number": "803-396-8040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1190 Filbert Hwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "SC",
            "postal_code": "297459324",
            "country_code": "US",
            "telephone_number": "803-628-0004",
            "fax_number": "803-628-6004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMERY",
        "first_name": "HENRY",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "40161",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "00594",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200300594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Edward Danieley, D.C.
• Dung Van Tran DDS PA
• Cindy Ejindu
• Elios Anesthesiology Group, PA
• Jamie Nicole Elwell, DPT
• Elen Gay, DPT
• Tejaswi Gosu
• Michael Grenda, PT
• Meredith Alison Griggs, PT, DPT
• Jeffrey Andrew Hamilton, DPT

• Family Medicine Physician in Weddington, NC
• Providers in Weddington, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.