Organization Active NPI

Wilkes Physician Network, Inc.

Doing business as Rock Creek Family Medicine and Urgent Care

  • Family Medicine Physician
  • North Wilkesboro, NC
National Provider Identifier
1891183331
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WILKES PHYSICIAN NETWORK, INC.
Doing business as
Rock Creek Family Medicine and Urgent Care
Practice address
111 Riddle Road
North Wilkesboro, NC 28659-8890
Phone
(336) 921-1362
Fax
(336) 921-1360
NPI assigned
Jan 7, 2015
Last updated
Jan 7, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
WILKES PHYSICIAN NETWORK, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Frieda Miller Lowder
Title
Sr Vice President
Phone
(704) 403-1780

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X

Addresses

Primary practice location

111 Riddle Road
North Wilkesboro, NC 28659-8890

Mailing address

PO Box 602451
Charlotte, NC 28260-2451
Phone (336) 921-1362

Other names 1

  • Rock Creek Family Medicine and Urgent Care Doing business as

National Provider Directory

National Provider Directory
Part of
Wilkes Physician Network in

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1891183331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602451",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602451",
            "telephone_number": "336-921-1362",
            "fax_number": "336-921-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 RIDDLE ROAD",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286598890",
            "telephone_number": "336-921-1362",
            "fax_number": "336-921-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES PHYSICIAN NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILKES PHYSICIAN NETWORK, INC.",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "LOWDER",
        "authorized_official_first_name": "FRIEDA",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "SR VICE PRESIDENT",
        "authorized_official_telephone_number": "704-403-1780"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock Creek Family Medicine and Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.