OrganizationActive
Wickford Family Medicine LLC
NPI 1104124734 · Family Medicine Physician · North Kingstown, RI
Provider details
- NPI number
- 1104124734
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Machata, Medical Director(401) 450-2111
- License
- 08781 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
320 Phillips St
Suite 204
North Kingstown, RI 02852-5149
Phone: (401) 450-2111
Street-level locationGet directions
Mailing address
Po Box 118
North Kingstown, RI 02852-0118
Registry dates
- Enumerated
- 2011-03-07
- Last updated
- 2011-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.