Liberty Family Physicians

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

205382 Issued in NC

Legal business name

LIBERTY FAMILY PHYSICIANS

Practice address

1928 Weddington Rd
Weddington, NC 28104-8318

Phone

(704) 844-0505

Fax

(704) 844-0220

NPI assigned

Oct 20, 2014

Last updated

Dec 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Henry Ronald Emery Jr., M.D.NPI 1639149552

Title

Ceo

Phone

(704) 844-0505

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9968/brand/1/csg/1/fhir/r4

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.

• Henry Ronald Emery Jr., M.D.

  • Family Medicine Physician
  • Weddington, NC
  • NPI 1639149552
  Authorized official Same address or phone
• Brenda J. Young, PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1952409302
  NPD

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513209600000",
    "number": "1659775500",
    "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": "704-844-0505",
            "fax_number": "704-844-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY FAMILY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2017-12-14",
        "status": "A",
        "authorized_official_last_name": "EMERY",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-844-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "205382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q0059W",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89134FA",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Andrew Hamilton, DPT
• Susan East Hutaff, M.S., CCC-SLP
• Heather Braswell Hyslep, DPT, LAT, ATC
• Faiza Jama, PHARMD
• Kinetic Spine & Sports
• George Alexander Limbanovnos, D.C.
• Matthew Maris
• Megremis Gynecology, PLLC
• Lisa Ann Merritt, D.C, N.M.D.
• Regina Nole

• 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 Dec 14, 2017; 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.