Active NPI
Sandhills Emergency Physicians PA
- Emergency Medical Services (Emergency Medicine) Physician
- Pinehurst, NC
National Provider Identifier
1003853409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- Legal business name
- SANDHILLS EMERGENCY PHYSICIANS PA
- Practice address
- 155 Memorial Dr
Pinehurst, NC 28374-8710 - Phone
- (910) 715-1000
- NPI assigned
- Jun 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kristin Olzark
- Title
- Practice Manager
- Phone
- (910) 692-8224
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | Primary |
Addresses
Primary practice location
155 Memorial Dr
Pinehurst, NC 28374-8710
Mailing address
120 Applecross Rd
Pinehurst, NC 28374-8520
Phone (910) 692-8224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890172A | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040617000371 | NC | Part B Supplier - Clinic/Group Practice | 8729062609 |
Receives reassigned benefits from 134 practitioners Practice locations: Pinehurst, NC; Raeford, NC; Rockingham, NC; Troy, NC |
National Provider Directory
National Provider DirectoryLocations
120 Applecross Rd
Pinehurst, NC 28374
Phone (910) 692-8224
Practitioners & affiliated clinicians
Practitioners 157
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727308800000",
"number": "1003853409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 APPLECROSS RD",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748520",
"telephone_number": "910-692-8224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 MEMORIAL DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748710",
"telephone_number": "910-715-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDHILLS EMERGENCY PHYSICIANS PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A",
"authorized_official_last_name": "OLZARK",
"authorized_official_first_name": "KRISTIN",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "910-692-8224",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890172A",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pinehurst, NC
- Sandhills Behavioral Care, PLLC
- Sandhills Center for Mental Health, Developmental Disabilities and Sub
- Sandhills Center for Mental Health, Developmental Disabilities and Sub
- Sandhills Comfort Care in-Home Providers, LLC
- Sandhills Dermatology,PA
- Sandhills Neurologists, P.a.
- Sandhills Nutrition LLC
- Sandhills Ortho & Spine Holdings, PLLC
- Sandhills Orthotics, LLC
- Bertha Laura Santos, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.