Dr. Daniel J Mackey , MD
Internal Medicine • Sylva, NC
430 Fisher Creek Rd
Sylva, NC 287797700
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Daniel Mackey is listed in NPPES under Internal Medicine.
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NPI assigned on January 14, 2006; this date does not establish years in practice.
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Published CMS data list 865 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 357 service units.
- G2211 — Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 287 service units.
- 99215 — Established patient outpatient office visit: 60 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 9 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 4,146 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium — 167 prescription fills, including refills.
- Gabapentin — 139 prescription fills, including refills.
- Lisinopril — 130 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 107 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 60% of clinicians listed under Internal Medicine in North Carolina (2024, 2,494 clinicians with data). Median for this group: 604. Middle half: 265 to 1,207.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 677 in 2020 to 865 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
430 Fisher Creek Rd
Sylva, NC 287797700
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Sylva Family Practice Pa. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
1996
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
147 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $64,154 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $45,728 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
7,703 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$302,416 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $113.64 across 5 records.
By nature of payment
- Food and Beverage: $113.64 across 5 records.
Reporting-company totals (3 largest of 4)
- AstraZeneca Pharmaceuticals LP: $41.20 across 2 records.
- Abbott Laboratories: $28.17 across 1 record.
- Inspire Medical Systems, Inc.: $26.34 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
30 years (graduated 1996)
CMS Doctors and Clinicians data list 1996 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Mackey has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Mackey as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Sylva and North Carolina
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 60% of clinicians listed under Internal Medicine in North Carolina (2024, 2,494 clinicians with data). Median for this group: 604. Middle half: 265 to 1,207.
Too few clinicians listed under Internal Medicine in Sylva have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
Close to the middle for clinicians listed under Internal Medicine in North Carolina (2024, 2,494 clinicians with data). Median for this group: $55,011. Middle half: $26,303 to $95,284.
Too few clinicians listed under Internal Medicine in Sylva have Medicare Part B data for 2024 to compare.
Paid by Medicare
Close to the middle for clinicians listed under Internal Medicine in North Carolina (2024, 2,494 clinicians with data). Median for this group: $41,890. Middle half: $20,432 to $73,403.
Too few clinicians listed under Internal Medicine in Sylva have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 65% of clinicians listed under Internal Medicine in North Carolina (2024, 2,599 clinicians with data). Median for this group: 841. Middle half: 130 to 5,481.
Too few clinicians listed under Internal Medicine in Sylva have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 65% of clinicians listed under Internal Medicine in North Carolina (2024, 2,599 clinicians with data). Median for this group: $86,371. Middle half: $7,620 to $461,304.
Too few clinicians listed under Internal Medicine in Sylva have Medicare Part D data for 2024 to compare.
13 active clinicians are listed under Internal Medicine with a practice address in Sylva, NC (4,060 in North Carolina).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Sylva
30.8% of these 13 clinicians have the CMS telehealth indicator.
76.9% of these 13 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 28% from 677 in 2020 to 865 in 2024.
- 2020: 677
- 2021: 912
- 2022: 869
- 2023: 642
- 2024: 865
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Medicare-allowed amount
Medicare-allowed amount decreased 11% from $72,286 in 2020 to $64,154 in 2024.
- 2020: $72,286
- 2021: $98,132
- 2022: $95,066
- 2023: $70,101
- 2024: $64,154
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Paid by Medicare
Paid by Medicare decreased 15% from $54,094 in 2020 to $45,728 in 2024.
- 2020: $54,094
- 2021: $74,237
- 2022: $69,862
- 2023: $52,099
- 2024: $45,728
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 318% from 991 in 2020 to 4,146 in 2024.
- 2020: 991
- 2021: 2,568
- 2022: 3,022
- 2023: 3,568
- 2024: 4,146
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30-day fills
30-day fills increased 567% from 1,154 in 2020 to 7,703 in 2024.
- 2020: 1,154
- 2021: 3,796
- 2022: 5,237
- 2023: 6,704
- 2024: 7,703
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Part D drug cost
Part D drug cost increased 902% from $30,194 in 2020 to $302,416 in 2024.
- 2020: $30,194
- 2021: $92,689
- 2022: $127,807
- 2023: $195,498
- 2024: $302,416
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $334.99 in 2021 to $113.64 in 2025.
- 2021: $334.99
- 2022: $76.88
- 2023: $174.39
- 2024: $211.84
- 2025: $113.64
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $113.64.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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FREESTYLE LIBRE 3 | General | $28.17 |
| Inspire Medical Systems, Inc. |
Food and Beverage
In-kind items and services
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INSPIRE | General | $26.34 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $22.26 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $18.94 |
| Phathom Pharmaceuticals, Inc. |
Food and Beverage
Cash or cash equivalent
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VOQUEZNA | General | $17.93 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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357 | 125 | $125.57 | $113.01 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
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287 | 105 | $16.93 | $15.48 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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60 | 36 | $176.51 | $155.97 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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50 | 50 | $119.92 | $115.19 |
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83036
Hemoglobin a1c level
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36 | 23 | $13.88 | $9.52 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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27 | 22 | $96.88 | $72.90 |
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87426
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
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20 | 17 | $40.00 | $34.62 |
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87449
Detection test by immunoassay technique for other organism
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14 | 13 | $30.00 | $11.74 |
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99497
Advance care planning, first 30 minutes
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14 | 13 | $84.12 | $77.21 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 167 | 13,295 | $1,395.08 | 47 |
| Gabapentin | Gabapentin | 139 | 6,189 | $1,627.43 | 28 |
| Lisinopril | Lisinopril | 130 | 10,530 | $819.02 | 36 |
| Omeprazole | Omeprazole | 128 | 9,500 | $1,120.44 | 35 |
| Amlodipine Besylate | Amlodipine Besylate | 122 | 9,600 | $404.41 | 33 |
| Levothyroxine Sodium | Levothyroxine Sodium | 117 | 8,346 | $1,792.13 | 33 |
| Eliquis | Apixaban | 107 | 4,650 | $88,200.52 | 19 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 107 | 7,897 | $1,194.53 | 28 |
| Alprazolam | Alprazolam | 90 | 2,541 | $626.98 | 15 |
| Potassium Chloride | Potassium Chloride | 75 | 3,510 | $686.36 | 19 |
| Losartan Potassium | Losartan Potassium | 74 | 6,740 | $821.09 | 21 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 73 | 1,910 | $1,516.19 | 16 |
| Pantoprazole Sodium | Pantoprazole Sodium | 73 | 4,950 | $354.34 | 21 |
| Tramadol Hcl | Tramadol Hcl | 72 | 1,848 | $278.22 | 18 |
| Clonazepam | Clonazepam | 71 | 1,956 | $210.52 | 13 |
| Farxiga | Dapagliflozin Propanediol | 71 | 3,300 | $61,336.75 | 14 |
| Ondansetron Odt | Ondansetron | 70 | 1,158 | $1,354.79 | 21 |
| Trazodone Hcl | Trazodone Hcl | 65 | 3,420 | $220.06 | 13 |
| Tamsulosin Hcl | Tamsulosin Hcl | 62 | 4,420 | $550.55 | 17 |
| Meloxicam | Meloxicam | 61 | 4,040 | $187.21 | 16 |
| Sertraline Hcl | Sertraline Hcl | 61 | 4,470 | $294.36 | 13 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 61 | 2,308 | $446.11 | 18 |
| Metformin Hcl | Metformin Hcl | 56 | 4,480 | $215.25 | 16 |
| Simvastatin | Simvastatin | 55 | 4,104 | $186.54 | 15 |
| Furosemide | Furosemide | 53 | 3,270 | $175.61 | 23 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-04-22NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
NUCC Taxonomy Code: 2080P0203X
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PEDIATRIC MEDICINE
I20080521000738
NC
0042292633
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Sylva Family Practice Pa
430 Fisher Creek Rd, Sylva, NC 287797700
Phone: 8285864012
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant - Medical
Physician Assistant
Nurse Practitioner
Nurse Practitioner
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Pediatrics (license number reported to NPPES: NC 2007-01639)
Registered at 430 FISHER CREEK RD, SYLVA, NC 287797700 (Tel: 8285864012)
Registered at 430 FISHER CREEK RD, SYLVA, NC 287797700 (Tel: 8285864012)
NPI status registered as active in NPPES database
Registered at 26 WESTCARE DR STE 301, SYLVA, NC 287795278 (Tel: 8286311702)
Registered at 26 WESTCARE DR STE 301, SYLVA, NC 287795278 (Tel: 8286311702)
Recorded as DANIEL MACKEY, MD
Internal Medicine (license number reported to NPPES: NC 2007-01639)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Sylva
More public profiles in North Carolina
Directory navigation, in NPI number order.
- Clayton Moore, FNP-BC, NP-C Nurse Practitioner - Family · Forest City
- Eric Castaneda, PA-C Physician Assistant · Wake Forest
- Brandon Jochum, FNP Nurse Practitioner - Family · Candler
- Amanda Campbell, NP Nurse Practitioner · Concord
- Tanya Fowler, PMHNP-BC Nurse Practitioner - Psychiatric/Mental Health · Wilmington
- Priscilla Smith Physician Assistant · Smithfield
- Jennifer Miller, PT, DPT Physical Therapist - Orthopedic · Southport
- Grace Oppenheim, OTD, OTR, L Occupational Therapist · Apex
- Emilia Kaslow-Zieve, MD Family Medicine · Asheville
- Patricia Stanford-Adams, OD Optometrist · Rocky Mount
- James Haaksma, MD Family Medicine · Asheville
- Roy Gallinger, MD Family Medicine · Sylva
Mailing Address
430 Fisher Creek Rd
Sylva, NC 287797700
Phone: 8285864012