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DRY RIDGE FAMILY MEDICINE PLLC NPI 1003146507


NPI Information

NPI: 1003146507
Provider Name: DRY RIDGE FAMILY MEDICINE PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 34D1107283

Address:
104 N MAIN ST
WEAVERVILLE, NC
ZIP 28787
Phone: (828) 645-7974
Get Directions

DRY RIDGE FAMILY MEDICINE PLLC is a family medicine in Weaverville, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DRY RIDGE FAMILY MEDICINE PLLC NPI is 1003146507. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

104 N MAIN ST
WEAVERVILLE, NC
ZIP 28787-230
Phone: (828) 645-7974
Fax: (828) 645-9798

The provider's authorized official is Nicole Ogg .
The authorized official title is Owner and has the following contact phone number (828) 645-7974.

The CLIA number assigned to this NPI record is 34D1107283 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/5/2010 and was last updated on 6/30/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine9901454NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15914187MEDICAIDNORTH CAROLINA
22291879BMEDICARE PINNORTH CAROLINA
3H45563MEDICARE UPINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.