Organization Active NPI

Western Carolina Digestive Consultants PA

  • Gastroenterology Physician
  • Sylva, NC
National Provider Identifier
1790870830
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
WESTERN CAROLINA DIGESTIVE CONSULTANTS PA
Practice address
26 Westcare Drive
Suite 304
Sylva, NC 28779-5278
Phone
(828) 586-9200
Fax
(828) 586-7459
NPI assigned
Oct 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Traci Nichelle Knop, RNNPI 1629438486
Title
Manager
Phone
(828) 586-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X Primary

Addresses

Primary practice location

26 Westcare Drive
Suite 304
Sylva, NC 28779-5278

Mailing address

26 Westcare Drive
Suite 304
Sylva, NC 28779-5278
Phone (828) 586-9200

Other identifiers 2

IdentifierTypeStateIssuer
0292KOtherNCBLUECROSS BLUESHEILD
890292KMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040913001268 NC Part B Supplier - Clinic/Group Practice 8820065477 Receives reassigned benefits from 15 practitioners
Practice locations: Highlands, NC; Sylva, NC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1051150Western Carolina Digestive Consultants PA26 Westcare Drive Suite 302, Sylva, NC 28779RegistrationJul 31, 2026

National Provider Directory

National Provider Directory

Locations

2730 Georgia Rd
Franklin, NC 28734
Phone (828) 349-3636

26 Westcare Dr
Ste 304
Sylva, NC 28779
Phone (704) 586-7456

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790870830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WESTCARE DRIVE",
            "address_2": "SUITE 304",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795278",
            "telephone_number": "828-586-9200",
            "fax_number": "828-586-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 WESTCARE DRIVE",
            "address_2": "SUITE 304",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795278",
            "telephone_number": "828-586-9200",
            "fax_number": "828-586-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN CAROLINA DIGESTIVE CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNOP",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "NICHELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "828-586-9200",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHEILD",
            "identifier": "0292K",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890292K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.