NPIMap

Organization Active NPI

DLP Central Carolina Medical Group LLC

Doing business as Central Carolina Family Care South

  • Rural Health Clinic/Center
  • Sanford, NC
National Provider Identifier
1003508367
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
DLP CENTRAL CAROLINA MEDICAL GROUP LLC
Doing business as
Central Carolina Family Care South
Practice address
1140 Carthage St Ste B
Sanford, NC 27330-4161
Phone
(919) 775-2304
Fax
(919) 775-4050
NPI assigned
May 24, 2023
Last updated
Sep 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1140 Carthage St Ste B
Sanford, NC 27330-4161

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000

Other names 1

  • Central Carolina Family Care South Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170503000867 NC Part B Supplier - Clinic/Group Practice 3577840420 Receives reassigned benefits from 100 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sanford, NC; Broadway, NC; Pittsboro, NC
O20230706001801 NC Part A Provider - Rural Health Clinic 3577840420 Practice locations: Sanford, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003508367. Details of each certification follow.

Rural health clinic certification: CCN 348976

Legal name
DLP CENTRAL CAROLINA MEDICAL GROUP LLC
Doing business as
CENTRAL CAROLINA FAMILY CARE SOUTH
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 27, 2023
Last certification
Dec 27, 2023
Ownership / control type
1B
Organization structure
LLCProprietary
Incorporated
Nov 18, 2016 in DE
Enrollment address
1140 Carthage St
Ste B
Sanford, NC 27330-4161

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1035034Central Carolina Family Care South1140 Carthage Street Suite B, Sanford, NC 27330Certificate of waiverJan 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Central Carolina Sandhills Family Care11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1140 Carthage St
#B
Sanford, NC 27330
Phone (919) 499-5150

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lifepoint Holdings 2 LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 97%
DLP Central NC Holding Company LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 100%
Pamela Kane Individual Corporate OfficerVice President Jul 1, 2023
DSB Acquisition LLC Organization, New York, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 97%
Laura C Hinson Individual Corporate OfficerChief Financial Officer Mar 12, 2025
Lifepoint Hospitals Holdings LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 97%
DLP Healthcare LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 100%
Historic Lifepoint Hospitals, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 97%
Lifepoint Health Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 97%
Charlotte E Lawrence Individual Corporate OfficerSecretary Jul 1, 2023
DLP Partner LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 97%
DLP Central Carolina Medical Center LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2023 100%
Klaus Michael Boel Individual Corporate OfficerPresident Aug 19, 2024
W-2 Managing Employee Aug 19, 2024
John Michael Grooms Individual Corporate OfficerSenior Vice President and Treasurer Jul 1, 2023
Christopher J Monte Individual Corporate OfficerVice President Jul 1, 2023
Legacy Lifepoint Health LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2023 97%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 202

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • DLP Central Carolina Medical Center LLC

    dba Central Carolina Hospital

    • General Acute Care Hospital
    • Sanford, NC
    • NPI 1902836943

    DLP Central NC Holding Company LLC, DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Central Carolina Medical Group LLC

    dba Central Carolina Community Family Care

    • Rural Health Clinic/Center
    • Sanford, NC
    • NPI 1073204715

    DLP Central Carolina Medical Center LLC, DLP Central NC Holding Company LLC, DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Central Carolina Medical Group LLC

    dba Central Carolina Sandhills Family Care

    • Rural Health Clinic/Center
    • Sanford, NC
    • NPI 1174208813

    DLP Central Carolina Medical Center LLC, DLP Central NC Holding Company LLC, DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Central Carolina Medical Group LLC

    dba Central Carolina Women's Health Center

    • Rural Health Clinic/Center
    • Sanford, NC
    • NPI 1518642255

    DLP Central Carolina Medical Center LLC, DLP Central NC Holding Company LLC, DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Central Carolina Medical Group LLC

    dba Central Carolina Sandhills Family Care

    • Rural Health Clinic/Center
    • Broadway, NC
    • NPI 1578254215

    DLP Central Carolina Medical Center LLC, DLP Central NC Holding Company LLC, DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Central Carolina Medical Group LLC

    dba Central Carolina Gynecology and Aesthetics

    • Rural Health Clinic/Center
    • Sanford, NC
    • NPI 1790568046

    DLP Central Carolina Medical Center LLC, DLP Central NC Holding Company LLC, DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Frye Medical Group LLC

    dba FryeCare Lincolnton Medical Group

    • Rural Health Clinic/Center
    • Lincolnton, NC
    • NPI 1154005965

    DLP Central NC Holding Company LLC, DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Frye Regional Medical Center LLC

    dba Frye Regional Medical Center

    • Rehabilitation Hospital Unit
    • Hickory, NC
    • NPI 1275557654

    DLP Central NC Holding Company LLC, DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Frye Regional Medical Center LLC

    dba Frye Regional Medical Center

    • Psychiatric Hospital Unit
    • Hickory, NC
    • NPI 1659393932

    DLP Central NC Holding Company LLC, DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Frye Regional Medical Center LLC

    dba Frye Regional Medical Center

    • General Acute Care Hospital
    • Hickory, NC
    • NPI 1801823349

    DLP Central NC Holding Company LLC, DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Harris Regional Hospital LLC

    dba Harris Regional Hospital

    • General Acute Care Hospital
    • Sylva, NC
    • NPI 1407962046

    DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Haywood Regional Medical Center LLC

    dba Haywood Regional Medical Center Behavioral Health Unit

    • Psychiatric Hospital Unit
    • Clyde, NC
    • NPI 1568618379

    DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
View all 202

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1003508367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 CARTHAGE ST STE B",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304161",
            "telephone_number": "919-775-2304",
            "fax_number": "919-775-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLP CENTRAL CAROLINA MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Carolina Family Care South",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Carolina Family Care South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.