Good Samaratan Family Practice & Urgent Care, PLLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

103575 Issued in NC

Legal business name

GOOD SAMARATAN FAMILY PRACTICE & URGENT CARE, PLLC

Practice address

210 S Clinton Ave
Dunn, NC 28334-4907

Phone

(910) 891-7767

Fax

(910) 891-7769

NPI assigned

Dec 8, 2008

Last updated

Sep 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. G Brooks

Title

Administrator

Phone

(910) 891-7767

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Theresa S Clarke, PA

  • Medical Physician Assistant
  • Angier, NC
  • NPI 1447446174
  NPD (past)

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1033354840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S CLINTON AVE",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344907",
            "telephone_number": "910-891-7767",
            "fax_number": "910-891-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S CLINTON AVE",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344907",
            "telephone_number": "910-891-7767",
            "fax_number": "910-891-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARATAN FAMILY PRACTICE & URGENT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-891-7767",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "103575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Glover, LPN, IBCLC
• Sharita Godwin, RN
• Johnika Shontea Golden, LCMHCA
• William Goldsmith, DPT
• Sara Ward Gonzalez
• Cassandra Goodenough, OTR/L
• Sri Anjali Gorle
• Goshen Medical Center Incorporated (GMC Pharmacy at Dunn)
• Goshen Medical Center, Inc (Goshen Medical Center - Dunn)
• Kathryn Gower

• Medical Physician Assistant in Dunn, NC
• Providers in Dunn, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.