GRAYSON FAMILY MEDICINE
NPI 1396092508
Family Medicine in Logan, WV

Q: What is Nicole Lackey Dillon, MD, Inc's NPI number?

The NPI number for Nicole Lackey Dillon, MD, Inc is 1396092508. It was assigned to this organization in the NPPES registry on August 7, 2012. The provider is doing business as Grayson Family Medicine.

Q: What is Nicole Lackey Dillon, MD, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 07, 2012

77 HOSPITAL DR, DOCTORS PARK SUITE D, LOGAN, WV 25601(304) 752-9290 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Grayson Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAYSON FAMILY MEDICINE (NPI 1396092508) is a healthcare organization registered as a family medicine in Logan, West Virginia and active in the NPI registry since August 2012. The organization lists Nicole Lackey Dillon, President, as its authorized official.

NPPES Registry Identity

NPI1396092508

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameNICOLE LACKEY DILLON, MD, INC

Location Address77 HOSPITAL DR, DOCTORS PARK SUITE DLogan, WV 25601-3451

Mailing Address77 Hospital Dr Ste DLogan, WV 25601-3451 · (304) 752-9290 · Fax (304) 896-8682

Phone(304) 752-9290

Organization SubpartNo

Authorized OfficialNicole Lackey DillonPresident · (304) 752-9290

Enumeration DateAugust 7, 2012

Last NPPES UpdateAugust 18, 2022

NPPES CertifiedAugust 15, 2022

✔ NPI 1396092508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WV · 21324

Definition

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.

77 HOSPITAL DR, Logan, WV 25601

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Other Names 1

Doing Business AsGrayson Family Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grayson Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Grayson Family Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nicole Dillon, MD

Family Practice

NPI 1730118431

77 HOSPITAL DR STE D
Logan, WV 25601

(304) 752-9290

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Lackey Dillon, MD, Inc's NPI number?

The NPI number for Nicole Lackey Dillon, MD, Inc is 1396092508. It was assigned to this organization in the NPPES registry on August 7, 2012. The provider is doing business as Grayson Family Medicine.

Where is Nicole Lackey Dillon, MD, Inc located?

Nicole Lackey Dillon, MD, Inc is located at 77 Hospital Dr Doctors Park Suite D, Logan, WV 25601. The listed phone number is (304) 752-9290.

What is Nicole Lackey Dillon, MD, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicole Lackey Dillon, MD, Inc enrolled in Medicare?

Yes. Nicole Lackey Dillon, MD, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nicole Lackey Dillon, MD, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Nicole Lackey Dillon, MD, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Nicole Lackey Dillon, MD, Inc accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Nicole Lackey Dillon, MD, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Lackey Dillon, MD, Inc was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.