Individual provider Active NPI

Diane Rene Dockery, FNP-C

  • Family Nurse Practitioner
  • Murphy, NC
National Provider Identifier
1952186827
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5018729 Issued in NC
Practice address
4226 E US Highway 64-Alt
Murphy, NC 28906-6966
Phone
(828) 479-6434
NPI assigned
Aug 29, 2023
Last updated
Apr 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5018729 NC Primary

Addresses

Primary practice location

4226 E US Highway 64-Alt
Murphy, NC 28906-6966

Mailing address

PO Box 100181
Columbia, SC 29202-3141
Phone (828) 202-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231031004009 NC Practitioner - Nurse Practitioner 6800242546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4048 E US 64 Alt
Suite 1
Murphy, NC 28906-6966
Phone (828) 837-8131

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5018729NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Mountain Community Health Centers CurrentSince Sep 25, 2023 Accepting new patients
Appalachian Mountain Community Health Centers CurrentSince Sep 25, 2023 Accepting new patients

Locations

4048 E US 64 Alt
Ste 1
Murphy, NC 28906
Phone (828) 837-8131

4226 E US 64 Alt
Murphy, NC 28906
Phone (828) 479-6434

409 Tallulah Rd
Robbinsville, NC 28771
Phone (828) 479-6434

Organizations & group practices 2

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 3

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": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1952186827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100181",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023141",
            "telephone_number": "828-202-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4226 E US HIGHWAY 64-ALT",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066966",
            "telephone_number": "828-479-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCKERY",
        "first_name": "DIANE",
        "middle_name": "RENE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2024-04-09",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5018729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, NC

Sources for this page

Verify at the official NPI Registry.