Organization Active NPI

Pisgah Direct Primary Care, PLLC

  • Family Medicine Physician
  • Arden, NC
National Provider Identifier
1093403727
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PISGAH DIRECT PRIMARY CARE, PLLC
Practice address
102 Cranbrook Dr
Arden, NC 28704-9603
Phone
(941) 313-4571
Fax
(828) 662-2004
NPI assigned
May 1, 2023
Last updated
May 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Angelina Leve
Title
BC-FNP, Director
Phone
(941) 313-4571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

102 Cranbrook Dr
Arden, NC 28704-9603

Mailing address

102 Cranbrook Dr
Arden, NC 28704-9603
Phone (941) 313-4571

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1093403727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CRANBROOK DR",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287049603",
            "telephone_number": "941-313-4571",
            "fax_number": "828-662-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CRANBROOK DR",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287049603",
            "telephone_number": "941-313-4571",
            "fax_number": "828-662-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PISGAH DIRECT PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-30",
        "status": "A",
        "authorized_official_last_name": "LEVE",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_title_or_position": "BC-FNP, DIRECTOR",
        "authorized_official_telephone_number": "941-313-4571"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.