INTEGRATED CARE OF GREATER HICKORY, INC (NPI# 1699268565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699268565 |
| Entity Type | Organization |
| Organization Name | INTEGRATED CARE OF GREATER HICKORY, INC |
| Practice Address |
1228 N Flint St Lincolnton NC 28092 |
| Mailing Address |
1228 N Flint St Lincolnton NC 28092-5239 |
| Practice Telephone | 8283225915 |
| Mailing Telephone | 8283225915 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-15 |
| Authorized Official Name | MR. DOUGLAS DAVID BLAKEMAN (CHIEF ADMINISTRATION OFFICER) |
| Authorized Official Telephone | 8283225915 |
| Authorized Official Credential | RMA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8973845 | 05 | |
| NC | 8902716 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184118663 | Integrated Care of Greater Hickory, Inc | Counselor | 425 7th Ave Sw, Hickory, NC 28602-3237 | 2018-06-19 |
| 1194219931 | Integrated Care of Greater Hickory, Inc | Family Medicine | 1228 N Flint St, Lincolnton, NC 28092-5239 | 2018-06-15 |
| 1235622101 | Integrated Care of Greater Hickory, Inc | Counselor | 741 5th St Sw, Hickory, NC 28602 | 2018-06-14 |
| 1962995837 | Integrated Care of Greater Hickory, Inc | Counselor | 741 5th St Sw, Hickory, NC 28602 | 2018-06-14 |
| 1679078836 | Integrated Care of Greater Hickory, Inc | Counselor | 741 5th St Sw, Hickory, NC 28602 | 2018-03-28 |
| 1366972325 | Integrated Care of Greater Hickory, Inc | Family Medicine | 350 E Parker Rd, Morganton, NC 28655 | 2017-06-13 |
| 1376600718 | Integrated Care of Greater Hickory, Inc | Counselor | 425 7th Ave Sw, Hickory, NC 28602 | 2007-01-03 |
| Street Address |
1228 N FLINT ST |
| City | LINCOLNTON |
| State | NC |
| Zip Code | 28092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194219931 | Integrated Care of Greater Hickory, Inc | Family Medicine | 1228 N Flint St, Lincolnton, NC 28092-5239 | 2018-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194373332 | Steven Garrett Werkman | Dentist | 1432 E. Main St, Lincolnton, NC 28092 | 2019-08-30 |
| 1194288746 | Karl Stanley Espanola Baquiran | Physical Therapist | 815 N. Generals Blvd, Suite D, Lincolnton, NC 28092 | 2019-04-10 |
| 1568959385 | Shalini Tailor | Dentist | 1432 E Main Street, Lincolnton, NC 28092 | 2018-04-17 |
| 1053760942 | Comprehab Inc | Clinic/Center | 18 North Generals Blvd., Lincolnton, NC 28092 | 2016-06-10 |
| 1013389816 | Joshua Tallent | Counselor | 701 S Laurel St Ste 3, Lincolnton, NC 28092 | 2015-10-20 |
| 1619352838 | Tamara Michelle Bivins Vead | Physical Therapist | 1244 North Flint St., Suite 5, Lincolnton, NC 28092 | 2015-07-29 |
| 1861802555 | Jessica Bookbinder Rhodes | Obstetrics & Gynecology | 447 Mcalister Rd Ste 3500, Lincolnton, NC 28092 | 2014-05-02 |
| 1467791186 | Kelly Louise Charles | Social Worker | 2589 E Main St Ste 102, Lincolnton, NC 28092 | 2013-02-01 |
| 1720330491 | Lincoln County | Non-emergency Medical Transport (VAN) | 1323 Gaston St, Lincolnton, NC 28092 | 2012-10-05 |
| 1225323546 | Gary Dean Cornwell | Pharmacist | 609 North Oak Street, Lincolnton, NC 28092 | 2011-06-15 |
| Find all providers in zip 28092 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1447725098 | Addictioncare 101 | Psychiatry & Neurology | 311 4 E Judges Road, Wilmington, NC 28405 | 2018-10-10 |
| 1942719950 | Peak Wellness Clinic Pllc | Psychiatry & Neurology | 5252 B N Sharon Amity Road, Charlotte, NC 28215 | 2017-09-21 |
| 1124446430 | Hien Ngoc Nguyen | Psychiatry & Neurology | 2172 N Salem St Ste 105, Apex, NC 27523-6457 | 2014-04-03 |
| 1467798520 | Sabina Benel | Psychiatry & Neurology | 5252b N Sharon Amity Rd, Charlotte, NC 28215-0053 | 2012-12-18 |
| 1518099910 | Nzinga Ajabu Harrison | Psychiatry & Neurology | 123 Professional Park Dr Ste 101, Mooresville, NC 28117-5516 | 2007-03-12 |
| 1962585513 | Elizabeth Shirley Stanton | Psychiatry & Neurology | 129 Mayo St, Hillsborough, NC 27278 | 2006-10-24 |
| 1548373525 | Marvin J Hoffert | Psychiatry & Neurology | 1011 Schaub Dr, Suite 201, Raleigh, NC 27606-1862 | 2006-08-16 |
| 1437162096 | Gregory Oran Dill | Psychiatry & Neurology | 932 Hendersonville Rd Ste 105c, Asheville, NC 28803-6628 | 2006-08-14 |
| 1538183942 | Gary G. Leonhardt | Psychiatry & Neurology | 203 Government Cir, Greenville, NC 27834-8198 | 2006-07-27 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLNTON |
| Zip Code | 28092 |
Please comment or provide details below to improve the information on INTEGRATED CARE OF GREATER HICKORY, INC.
| 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.