GRAYSON FAMILY MEDICINE – NPI #1396092508
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

GRAYSON FAMILY MEDICINE is a provider located in LOGAN, WV. NPPES has assigned the NPI number 1396092508 to GRAYSON FAMILY MEDICINE on August 07, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GRAYSON FAMILY MEDICINE” is a dba name, the actual legal business name for this organization is NICOLE LACKEY DILLON, MD, INC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Aug 18, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRAYSON FAMILY MEDICINE below.

NPI Profile for
NICOLE LACKEY DILLON, MD, INC

NPI Number
1396092508
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NICOLE LACKEY DILLON, MD, INC
Doing Business As (dba): GRAYSON FAMILY MEDICINE
Primary location
77 HOSPITAL DR
DOCTORS PARK SUITE D
LOGAN, WV 25601-3451
Phone: (304) 752-9290 Fax:
Mailing address
77 HOSPITAL DR STE D
LOGAN, WV 25601-3451
Phone: (304) 752-9290 Fax: (304) 896-8682
Organization Subpart
No
Authorized Official
NICOLE DILLON
PRESIDENT
Phone: (304) 752-9290
Updated
Certification Date
Aug 15, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 WV 21324

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.