Randy M. Sloan Family Medicine, P.a

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

9501103 Issued in NC

Legal business name

RANDY M. SLOAN FAMILY MEDICINE, P.A

Practice address

14905 US Highway 17 N
Hampstead, NC 28443-3391

Phone

(910) 270-0997

NPI assigned

Mar 9, 2007

Last updated

Aug 22, 2020By 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

Dr. Randy Mark Sloan, MD

Title

Owner

Phone

(910) 270-0997

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

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.

• Rachel Elizabeth Bennett, MMS, PA-C

  • Medical Physician Assistant
  • Wilmington, NC
  • NPI 1588820203
  NPD (past)
• Rick J Hernandez, M.D.

  • Family Medicine Physician
  • Southport, NC
  • NPI 1437351806
  NPD (past)
• Lindsey R Huckbody, PA-C

  • Physician Assistant
  • Pinehurst, NC
  • NPI 1831369214
  NPD (past)
• James O Vaughn, PA-C

  • Medical Physician Assistant
  • Hampstead, NC
  • NPI 1255404273
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073644928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14905 US HIGHWAY 17 N",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433391",
            "telephone_number": "910-270-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14905 US HIGHWAY 17 N",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433391",
            "telephone_number": "910-270-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY M. SLOAN FAMILY MEDICINE, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-270-0997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "9501103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8977033",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "77033",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irma Reed Quinn, LCMHC
• R. Tim Powell DDS PA (Topsail Dental)
• Raise the Bar Therapy Services
• Raleigh Durham Medical Group, PA (Cape Fear Pediatrics)
• Michael George Rallis, MD
• Kole Brent Rankin, RBT
• Raw Functional Nutrition
• Realo Discount Drug Stores of Eastern North Carolina Inc (Realo Discount Drugs)
• Glenda Michelle Reams Mercer, HIS
• Victoria Reed

• Primary Care Clinic/Center in Hampstead, NC
• Providers in Hampstead, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.