Active NPI
Pisgah Direct Primary Care, PLLC
- Family Medicine Physician
- Arden, NC
National Provider Identifier
1093403727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2023
- 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
- Angelina Leve
- Title
- BC-FNP, Director
- Phone
- (941) 313-4571
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.