Organization Active NPI

Associated Urologists of North Carolina PA

  • Urology Physician
  • Clayton, NC
National Provider Identifier
1023399359
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ASSOCIATED UROLOGISTS OF NORTH CAROLINA PA
Practice address
95 Springbrook Ave Ste 109
Clayton, NC 27520-5308
Phone
(919) 863-9424
Fax
(919) 863-9425
NPI assigned
Aug 31, 2011
Organization subpart
Yes
Parent organization
ASSOCIATED UROLOGISTS OF NORTH CAROLINA PAAs reported in NPPES

National Provider Directory

National Provider Directory
Part of
Associated Urologists of North Carolina PA

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Saemica Wilkins
Title
Director of Opoerations
Phone
(919) 390-3986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

95 Springbrook Ave Ste 109
Clayton, NC 27520-5308

Mailing address

3821 Ed Dr
Raleigh, NC 27612-8038
Phone (919) 758-8677

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1023399359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 ED DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128038",
            "telephone_number": "919-758-8677",
            "fax_number": "919-758-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 SPRINGBROOK AVE STE 109",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205308",
            "telephone_number": "919-863-9424",
            "fax_number": "919-863-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED UROLOGISTS OF NORTH CAROLINA PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSOCIATED UROLOGISTS OF NORTH CAROLINA PA",
        "enumeration_date": "2011-08-31",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "SAEMICA",
        "authorized_official_title_or_position": "DIRECTOR OF OPOERATIONS",
        "authorized_official_telephone_number": "919-390-3986"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.