AVERY ADULT AND FAMILY MEDICINE PLLC


Address: 108 Park Ave, Banner Elk, NC 28604-6604
Phone: 8288984343

AVERY ADULT AND FAMILY MEDICINE PLLC (NPI# 1396254868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396254868
Entity Type Organization
Organization Name AVERY ADULT AND FAMILY MEDICINE PLLC
Practice Address 108 Park Ave
Banner Elk
NC 28604-6604
Mailing Address Po Box 1993
Banner Elk
NC 28604-1993
Practice Telephone 8288984343
Enumeration Date 2017-09-27
Last Update Date 2017-09-27
Authorized Official Name MS. MARIAN PETERS (OWNER/MANAGER)
Authorized Official Telephone 8288984343
Authorized Official Credential PA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Office Location

Street Address 108 PARK AVE
City BANNER ELK
State NC
Zip Code 28604-6604

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720618465 Blue Ridge Medical Management Corporation Clinic/Center 108 Park Ave, Banner Elk, NC 28604-6604 2020-01-22
1750654851 Blue Ridge Family Health Care Plus Nurse Practitioner 108 Park Ave, Banner Elk, NC 28604-6604 2012-02-21
1104110279 Roberta Cook Clinic/Center 108 Park Ave, Banner Elk, NC 28604-6604 2011-06-06
1902198351 Roberta Spencer Cook General Practice 108 Park Ave, Banner Elk, NC 28604-6604 2011-05-04
1477538080 Steven Henry Cook Family Medicine 108 Park Ave, Banner Elk, NC 28604-6604 2005-12-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184194755 William H Burrow Dds Pllc Dba High Country Dental Associates Clinic/Center 2043 Tynecastle Highway, Banner Elk, NC 28604 2018-11-27
1699268953 Barium Springs Home for Children Community/Behavioral Health 158 Grandfather Home Drive Bldg 2, Banner Elk, NC 28604 2018-06-12
1578973996 Grandfather Home for Children, Inc. Community Based Residential Treatment Facility, Mental Illness 158 Grandfather Home Drive, Banner Elk, NC 28604 2014-05-07
1134417314 Grandfather Home for Children, Inc. Community Based Residential Treatment Facility, Mental Illness 233 Grandfather Home Dr., Banner Elk, NC 28604 2011-07-21
1841598745 Ivan Smith Pharmacist 4059 Nc Hwy 105, Rite Aid Pharmacy, Sugar Mountain, NC 28604 2011-03-02
1043515679 Grandfather Home for Children, Incorporated Community/Behavioral Health 64 Grandfather Home Drive, Banner Elk, NC 28604 2011-01-12
1710133012 Stephanie Knowles Social Worker 158 Grandfather Home for Children Way, Hickory Nut Gap Road, Banner Elk, NC 28604 2008-08-18
1235313909 Dennis Robert Blair Respiratory Therapist, Registered 335 Leslie Ln, Banner Elk, NC 28604 2007-12-18
1780867291 Robert Jones Spec/Tech, Cardiovascular 28 Wildcat Creek Lane, Banner Elk, NC 28604 2007-12-07
1730308172 Erling L Fredrickson Social Worker 158 Grandfather Home Way, Hickory Nut Gap Rd., Banner Elk, NC 28604 2007-04-24
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1164042412 Hometown Direct Primary Care Pllc Clinic/Center 332 N Brightleaf Blvd Ste C, Smithfield, NC 27577-4604 2020-04-16
1528619293 Careatc Clinic/Center 3615 Whitehall Park Dr Ste G, Charlotte, NC 28273-4199 2019-09-24
1568021160 Brighter Pathway To Healthcare Clinic/Center 2641 Cameron Woods Ln Apt Suite, Fayetteville, NC 28306-7700 2019-06-07
1467931584 Healthworks Med Group of North Carolina P C Clinic/Center 112 Medical Village Dr Ste F, Wallace, NC 28466-1665 2018-08-09
1598257750 Balsam Health of The Carolinas, Pllc Clinic/Center 607 W Grover St Ste 101, Shelby, NC 28150-2816 2018-06-04
1932607595 Charlotte Proactive Md PC Clinic/Center 11220 Golf Links Drive North, Charlotte, NC 28277 2018-01-30
1194233403 Futuremed Evening Clinic Pllc Clinic/Center 2003 Boulevard St Ste C, Greensboro, NC 27407-4579 2018-01-21
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Competitor

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City BANNER ELK
Zip Code 28604

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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