Active NPI
Vickery Family Medicine, PLLC
- Family Medicine Physician
- Asheville, NC
National Provider Identifier
1992887855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 200201416
- Legal business name
- VICKERY FAMILY MEDICINE, PLLC
- Practice address
- 15 Yorkshire St
Suite 201
Asheville, NC 28803-2760 - Phone
- (828) 274-1600
- Fax
- (828) 274-1603
- NPI assigned
- Oct 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Augustus Vickery, M.D.
- Title
- Owner
- Phone
- (828) 274-1600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 200201416 | NC | Primary |
Addresses
Primary practice location
15 Yorkshire St
Suite 201
Asheville, NC 28803-2760
Mailing address
15 Yorkshire St
Ste 201
Asheville, NC 28803-7783
Phone (828) 274-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5908828 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649289600000",
"number": "1992887855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 YORKSHIRE ST",
"address_2": "STE 201",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288037783",
"telephone_number": "828-274-1600",
"fax_number": "828-274-1603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 YORKSHIRE ST",
"address_2": "SUITE 201",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288032760",
"telephone_number": "828-274-1600",
"fax_number": "828-274-1603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICKERY FAMILY MEDICINE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-19",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A",
"authorized_official_last_name": "VICKERY",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "AUGUSTUS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "828-274-1600",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NC",
"license": "200201416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5908828",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.