Individual provider Active NPI

Aaron David Neeley, PA-C

  • Physician Assistant
  • Great Falls, MT
National Provider Identifier
1730499054
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-2022-0116 Issued in NM
Practice address
1101 26TH St S
Great Falls, MT 59405-5161
Phone
(406) 731-8888
Fax
(406) 731-8318
NPI assigned
Oct 20, 2010
Last updated
Dec 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-2022-0116 NM Primary
Medical Physician Assistant 363AM0700X PA1594 KY
Surgical Physician Assistant 363AS0400X 2800 TN
Surgical Physician Assistant 363AS0400X 103693 MT

Addresses

Primary practice location

1101 26TH St S
Great Falls, MT 59405-5161

Mailing address

1101 26TH St S
Great Falls, MT 59405-5161
Phone (406) 731-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, NM, NC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220310001048 MT Practitioner - Physician Assistant 6103000351 Reassigns benefits to 1 organization
I20230125002117 NM Practitioner - Physician Assistant 6103000351 Reassigns benefits to 1 organization
I20231120000625 NC Practitioner - Physician Assistant 6103000351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Frye Medical Group LLCGroup PAC ID 8123397601, 125 clinicians

Practice addresses (Care Compare)

415 N Ctr St
Hickory, NC 28601-5036

915 Tate Blvd SE
Hickory, NC 28602-4042

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2800TNMDRegistered Dietitian
PA-2022-0116NMMDPhysician Assistant
103693MTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Frye Medical Group LLC CurrentSince Dec 1, 2023 Accepting new patients
DLP Frye Medical Group LLC CurrentSince Dec 1, 2023 Accepting new patients
Presbyterian Healthcare Services CurrentSince Nov 30, 2022 Accepting new patients
Presbyterian Healthcare Services CurrentSince Nov 30, 2022 Accepting new patients
DLP Frye Medical Group LLC Physician Assistant Past Accepting new patients

Locations

415 N Center St
Ste 204
Hickory, NC 28601
Phone (828) 322-8265

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

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: aaron.neeley.1@15786.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1730499054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 26TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055161",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 26TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055161",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELEY",
        "first_name": "AARON",
        "middle_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-20",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA-2022-0116",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA1594",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "2800",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MT",
            "license": "103693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.