NICKERSON FAMILY MEDICAL CARE
NPI 1528045390
Family Medicine in Spencer, NC

NPI Status: Active since December 22, 2005

Contact Information

300 N SALISBURY AVE
SPENCER, NC
ZIP 28159
Phone: (704) 633-7070
Fax: (704) 633-7627

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  • Organization
  • Family Medicine

About NICKERSON FAMILY MEDICAL CARE

This page provides the complete NPI Profile along with additional information for Nickerson Family Medical Care, a primary care provider established in Spencer, North Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1528045390 assigned on December 2005. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Nickerson Family Medical Care. The authorized official of this NPI record is Lloyd Emery Nickerson Md (Owner Medical Doctor)

NPI
1528045390
Provider Legal Name
FAMILY MEDICAL CARE OF ROWAN PA
Other Organization Name
NICKERSON FAMILY MEDICAL CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
300 N SALISBURY AVE SPENCER, NC 28159
Location Phone
(704) 633-7070
Location Fax
(704) 633-7627
Mailing Address
300 N SALISBURY AVE SPENCER, NC 28159
Mailing Phone
(704) 633-7070
Mailing Fax
(704) 633-7627
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-22-2005
Last Update Date
06-06-2008
Code Navigator

A primary care provider (PCP) like Nickerson Family Medical Care sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LLOYD EMERY NICKERSON MD

Authorized Official Title
OWNER MEDICAL DOCTOR
Authorized Official Phone
(704) 633-7070

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========MEDICARE ID-TYPE UNSPECIFIED (04)COMPLETE ID
89014CEOTHER (01)NCMEDICAID
8962644MEDICAID (05)NC 
=========OTHER (01)ALL OTHER COMMERCIAL CARR
970029646OTHER (01)MEDICARE RAILROAD
C95292MEDICARE UPIN (02) 
CL2573OTHER (01)NCRAILROAD MEDICARE
2141141BMEDICARE ID-TYPE UNSPECIFIED (04)ID
2751870CMEDICARE ID-TYPE UNSPECIFIED (04) 
890138RMEDICAID (05)NC 
0138ROTHER (01)BCBS GROUP ID
500013139OTHER (01)MEDICARE RAILROAD
2591078MEDICARE ID-TYPE UNSPECIFIED (04) 
62644OTHER (01)BCBS PERSONAL ID
202595OTHER (01)BLACK LUNG
S68763MEDICARE UPIN (02) 
S81110MEDICARE UPIN (02) 
2311063MEDICARE ID-TYPE UNSPECIFIED (04)GROUP ID
010025945MEDICARE ID-TYPE UNSPECIFIED (04)RAILROAD MEDICARE
0954290001MEDICARE NSC (07) 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528045390
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25480410318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 0 + 4 + 1 + 0 + 3 + 1 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1528045390 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730319682CAROLINAS PHYSICIANS NETWORK INC
Organization
Family Medicine300 N SALISBURY AVE
SPENCER, NC 28159
(704) 633-7070
1205204476CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))300 N SALISBURY AVE
SPENCER, NC 28159
(704) 216-2630
1205910692 GAIL KEY KIMBALL APRN, A/GNP-C
Individual
Nurse Practitioner (Adult Health)300 N SALISBURY AVE
SPENCER, NC 28159
(704) 633-7070
1023288271MS. BENITA JO HUTCHINSON LMSW
Individual
Social Worker (Clinical)300 N SALISBURY AVE
SPENCER, NC 28159
(704) 216-2630

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528045390, enumerated in the NPI registry as an "organization" on December 22, 2005

The provider is located at 300 N Salisbury Ave Spencer, Nc 28159 and the phone number is (704) 633-7070

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare, Medicaid, Railroad Medicare and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 22, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.