NPIMap

Organization Active NPI

Hickory Family Practice Associates, PA

  • Family Medicine Physician
  • Hickory, NC
National Provider Identifier
1730125238
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40313 Issued in NC
Legal business name
HICKORY FAMILY PRACTICE ASSOCIATES, PA
Practice address
52 12TH Ave NE
Hickory, NC 28601-2695
Phone
(828) 328-2941
Fax
(828) 328-4049
NPI assigned
Jun 22, 2006
Last updated
Dec 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Authorized official

Name
Dr. John Earl, M.D.
Title
President
Phone
(828) 328-2941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 40313 NC Primary

Addresses

Primary practice location

52 12TH Ave NE
Hickory, NC 28601-2695

Mailing address

52 12TH Ave NE
Hickory, NC 28601-2695
Phone (828) 328-2941

Other identifiers 1

IdentifierTypeStateIssuer
8901561MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1730125238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 12TH AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012695",
            "telephone_number": "828-328-2941",
            "fax_number": "828-328-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 12TH AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012695",
            "telephone_number": "828-328-2941",
            "fax_number": "828-328-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKORY FAMILY PRACTICE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "EARL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-328-2941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "40313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901561",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.