Organization Active NPI

Vickery Family Medicine, PLLC

  • Family Medicine Physician
  • Asheville, NC
National Provider Identifier
1992887855
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200201416 Issued in NC
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

Updated by the provider on Apr 7, 2022

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
5908828MedicaidNC

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.