MEDICARE: DLP FRYE MEDICAL GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	363LF0000X	Family Nurse Practitioner
3	363L00000X	Nurse Practitioner
4	363A00000X	Physician Assistant
5	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1427597111
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DLP FRYE MEDICAL GROUP LLC

Provider Business Mailing Address
First Line	:	330 SEVEN SPRINGS WAY
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-5098
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	52 12TH AVE NE
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-2798
Country	:	US
Telephone Number	:	828-328-2941
Fax Number	:	828-328-4049

Authorized Official
Title or Position	:	CORPORATE SECRETARY
Name	:	CHARLOTTE LAWRENCE
Credential	:
Telephone Number	:	615-920-7000

Provider Enumeration Date	:	02/15/2017
Last Update Date	:	09/18/2025

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