Shirley Elbinias-Tan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200201575 Issued in NC

Practice address

4092 Professional Dr
Hope Mills, NC 28348-2366

Phone

(910) 615-3120

Fax

(910) 423-6050

NPI assigned

Aug 19, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cumberland County Hospital System Inc

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1336131010
  NPD (past)
• McLeod Physician Associates, Inc

  • Family Nurse Practitioner
  • Mullins, SC
  • NPI 1659343465

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1083606685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40908",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283090908",
            "telephone_number": "910-615-6448",
            "fax_number": "910-615-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4092 PROFESSIONAL DR",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283482366",
            "telephone_number": "910-615-3120",
            "fax_number": "910-423-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBINIAS-TAN",
        "first_name": "SHIRLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200201575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89133AG",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Duval, M.A. LPCA
• Eunice Latanya Eaddy
• Edc Drug Stores
• Rondell Austin Edwards Jr.
• El-Elyon Care Services, Inc.
• Elevated Home Care Services, Inc
• Elitecare of Fayetteville PLLC
• Elliott & Elliott Enterprise,LLP
• Elliott & Elliott Enterprises
• Gabrielle Ellis

• Family Medicine Physician in Hope Mills, NC
• Providers in Hope Mills, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.