Active NPI
Moore Free Care Clinic, Inc.
- Adult Health Nurse Practitioner
- Southern Pines, NC
National Provider Identifier
1093062598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- MOORE FREE CARE CLINIC, INC.
- Practice address
- 211 Trimble Plant Rd
Ste C
Southern Pines, NC 28387-3444 - Phone
- (910) 246-5333
- NPI assigned
- Aug 14, 2012
- 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
- Mr. Anthony Price
- Title
- Chief Executive Officer
- Phone
- (910) 246-5333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | Primary |
Addresses
Primary practice location
211 Trimble Plant Rd
Ste C
Southern Pines, NC 28387-3444
Mailing address
211 Trimble Plant Rd
Ste C
Southern Pines, NC 28387-3444
Phone (910) 246-5333
National Provider Directory
National Provider DirectoryLocations
211 Trimble Plant Rd
Ste C
Southern Pines, NC 28387
Phone (910) 246-5333
Interoperability endpoints
- https://api.platform.athenahealth.com/1215/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344902400000",
"number": "1093062598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 TRIMBLE PLANT RD",
"address_2": "STE C",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283873444",
"telephone_number": "910-246-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 TRIMBLE PLANT RD",
"address_2": "STE C",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283873444",
"telephone_number": "910-246-5333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOORE FREE CARE CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-14",
"last_updated": "2012-08-14",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "910-246-5333",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southern Pines, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.