| Joy K Creed, FNP-C | |
|
109 Carroll Drive, Fries, VA 24330-4532 | |
| (888) 908-4788 | |
| (276) 398-2094 |
| Full Name | Joy K Creed |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | 109 Carroll Drive, Fries, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679592554 | NPI | - | NPPES |
| C05711 | Other | MEDICARE GROUP # | |
| 010149207 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0024165309 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Twin County Regional Hospital | Galax, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dlp Twin County Physician Practices Llc | 7214199512 | 76 |
| Blue Ridge Physicians For Women Inc | 9436303336 | 3 |
| Entity Name | Dlp Twin County Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962078527 PECOS PAC ID: 7214199512 Enrollment ID: O20120503000011 |
| Entity Name | Blue Ridge Physicians For Women Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194082149 PECOS PAC ID: 9436303336 Enrollment ID: O20130130000257 |
| Entity Name | Oldtown Medical Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043558745 PECOS PAC ID: 9638307754 Enrollment ID: O20140118000260 |
| Mailing Address | Practice Location Address |
|---|---|
| Joy K Creed, FNP-C 14558 Danville Pike, Laurel Fork, VA 24352-3982 Ph: (276) 398-1200 | Joy K Creed, FNP-C 109 Carroll Drive, Fries, VA 24330-4532 Ph: (888) 908-4788 |
Kelly Russell Burris, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Carrol Dr, Fries, VA 24330 Phone: 888-908-4788 Fax: 276-398-3331 | |
Heather Richardson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 279 Gladeview Dr, Fries, VA 24330 Phone: 276-233-7864 |