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GRAYSON FAMILY MEDICINE
NPI 1396092508
Family Medicine in Logan, WV

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: July 26, 2026.

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 ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLTON L W HERALD DO PC INC
Internal Medicine
77 HOSPITAL DR, SUITE 100
LOGAN, WV 25601
Logan County (304) 831-2061
JENNA MARIE HAGER APRN
Nurse Practitioner (Family)
77 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 896-5200
MICHAEL BRIAN BERES MD
Ophthalmology
77 HOSPITAL DR, SUITE 400
LOGAN, WV 25601
Logan County (304) 792-1480
ALPHA OMEGA MEDICAL PLLC
Obstetrics & Gynecology (Obstetrics)
77 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 400-6262
JODI M CISCO-GOFF MD
Surgery
77 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 792-1847
VISION CONSULTANTS PLLC
Ophthalmology
77 HOSPITAL DR, SUITE 400
LOGAN, WV 25601
Logan County (304) 792-1480
PREMIER DIAGNOSTIC SOLUTIONS
Radiology (Diagnostic Radiology)
77 HOSPITAL DR, STE 300
LOGAN, WV 25601
Logan County (304) 792-1259

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.

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 with the weekly NPPES data releases published by CMS.