Nicole Lackey Dillon, MD, Inc
NPI 1396092508 · Family Medicine Physician · Logan, WV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Lackey Dillon, MD, Inc is a Family Medicine Physician organization in Logan, WV (NPI 1396092508).
Provider details
- NPI number
- 1396092508
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nicole Dillon, President(304) 752-9290
- License
- 21324 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Other names (DBA / former)
- Doing business as
- Grayson Family Medicine
- Doing business as
- Grayson Family Medicine
Registry dates
- Enumerated
- 2012-08-07
- Last updated
- 2022-08-18
- Certified
- 2022-08-15
Frequently asked questions
- What is Nicole Lackey Dillon, MD, Inc's NPI number?
- Nicole Lackey Dillon, MD, Inc's National Provider Identifier (NPI) is 1396092508, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nicole Lackey Dillon, MD, Inc?
- Nicole Lackey Dillon, MD, Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Nicole Lackey Dillon, MD, Inc located?
- Nicole Lackey Dillon, MD, Inc's practice location on file with NPPES is 77 Hospital Dr, Logan, WV 25601-3451.
- What is Nicole Lackey Dillon, MD, Inc's phone number?
- The practice phone number listed in the NPPES registry for Nicole Lackey Dillon, MD, Inc is (304) 752-9290.
- Does Nicole Lackey Dillon, MD, Inc accept Medicare?
- Nicole Lackey Dillon, MD, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Nicole Lackey Dillon, MD, Inc?
- The authorized official listed on Nicole Lackey Dillon, MD, Inc's NPPES record is Nicole Dillon, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nicole Lackey Dillon, MD, Inc's NPI active?
- Yes — Nicole Lackey Dillon, MD, Inc's NPI (1396092508) is active in the NPPES registry as of the last update on 2022-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.