Individual provider Active NPI

Yamicia Doyasi Connor

  • Obstetrics & Gynecology Physician
  • Chapel Hill, NC
National Provider Identifier
1639529464
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
268534 Issued in MA
Practice address
170 Manning Dr
Chapel Hill, NC 27514-4221
Phone
(919) 843-2077
Fax
(919) 843-6921
NPI assigned
Jun 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 2021-01676 NC
Obstetrics & Gynecology Physician 207V00000X 268534 MA Primary

Addresses

Primary practice location

170 Manning Dr
Chapel Hill, NC 27514-4221

Mailing address

170 Manning Dr
Chapel Hill, NC 27514-4221
Phone (919) 843-2077

Other practice location 1

110 Professional Park
Oxford, NC 27565-2576
Phone (919) 693-6541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230727001282 NC Practitioner - Obstetrics/Gynecology 2860788668 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Maria Parham Physician Practices LLC CurrentSince Sep 15, 2023 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Jul 1, 2023 Accepting new patients
DLP Rutherford Physician Practices LLC CurrentSince May 23, 2025 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Jul 1, 2023 Accepting new patients
DLP Frye Medical Group LLC CurrentSince Feb 5, 2025 Accepting new patients
DLP Maria Parham Physician Practices, LLC Obstetrics & Gynecology CurrentSince Sep 15, 2023 Accepting new patients
DLP Frye Medical Group LLC Obstetrics & Gynecology CurrentSince Feb 5, 2025 Accepting new patients
DLP Maria Parham Physician Practices, LLC Current Accepting new patients
DLP Rutherford Physician Practices LLC CurrentSince May 23, 2025 Accepting new patients

Locations

120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773

1781 Tate Blvd SE
Ste 201
Hickory, NC 28602
Phone (828) 322-3725

915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458

915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

1209 SE Industry Dr
Oxford, NC 27565
Phone (252) 492-8576

175 Tryon Rd
Ste A
Rutherfordton, NC 28139
Phone (828) 286-0632

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

Interoperability endpoints

  • Direct secure messaging: yamicia.connor.1@20247.direct.athenahealth.com

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1639529464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MANNING DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144221",
            "telephone_number": "919-843-2077",
            "fax_number": "919-843-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MANNING DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144221",
            "telephone_number": "919-843-2077",
            "fax_number": "919-843-6921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Professional Park",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "NC",
            "postal_code": "275652576",
            "country_code": "US",
            "telephone_number": "919-693-6541",
            "fax_number": "919-693-7396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "YAMICIA",
        "middle_name": "DOYASI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NC",
            "license": "2021-01676",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "268534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.