MLP Church MD Family Practice, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MLP CHURCH MD FAMILY PRACTICE, INC.

Practice address

1707 Industrial Dr
Wilkesboro, NC 28697-7345

Phone

(336) 667-6363

Fax

(336) 667-8066

NPI assigned

Dec 7, 2009

Last updated

Dec 7, 2009By 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. Mary Louise Parker Church, MD

Title

President / Owner

Phone

(336) 667-6363

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Mary Lou Church, M.D.

  • Family Medicine Physician
  • Wilkesboro, NC
  • NPI 1639170749
  Medicare reassignment Care Compare group NPD
• Holly Elizabeth Roberts

  • Physician Assistant
  • Ferguson, NC
  • NPI 1346852704
  Medicare reassignment Care Compare group
• Gary W Reash, PA

  • Physician Assistant
  • Wilkesboro, NC
  • NPI 1831136340
  NPD (past)

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1710215538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 INDUSTRIAL DR",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286977345",
            "telephone_number": "336-667-6363",
            "fax_number": "336-667-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 INDUSTRIAL DR",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286977345",
            "telephone_number": "336-667-6363",
            "fax_number": "336-667-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLP CHURCH MD FAMILY PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "MARY LOUISE",
        "authorized_official_middle_name": "PARKER",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "336-667-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Lynn McGlamery, LPTA
• Lewis Edward McNeil, NCCPSS
• Michael J. Andreski, DDS, PA
• Michael Vollmer OD PLLC
• Kristain Maria Miller, PA-C
• Mountain House Assisted Living of Wilkesboro, LLC
• Lena Myers
• Newcastle Speech Services
• Danielle Nichols, MA, CCC-SLP
• James Roger Nieland, D.C.

• Family Medicine Physician in Wilkesboro, NC
• Providers in Wilkesboro, 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 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.