Franklin D Egolf Jr., PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1157 Issued in NC

Practice address

306 W Broad St
Elizabethtown, NC 28337

Phone

(910) 862-4151

Fax

(910) 862-3470

NPI assigned

Jan 10, 2006

Sex

Male

Sole proprietor

No

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.

• Southern Professional Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elizabethtown, NC
  • NPI 1881623973
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 1, 2012.

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1104805068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 OLD TOM MORRIS RD",
            "city": "GARLAND",
            "state": "NC",
            "postal_code": "28441",
            "telephone_number": "910-529-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W BROAD ST",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "28337",
            "telephone_number": "910-862-4151",
            "fax_number": "910-862-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGOLF",
        "first_name": "FRANKLIN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000089",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Dubose
• Jennifer Duncan
• Jessica Lauren Eason, LPC
• Amber Eddy, AGNP
• Amy Hamilton Edwards
• Elizabethtown Nursing Center, Inc.
• Elizabethtown Rescue Squad
• Danny L Ellis Jr., D.C.
• Elwell Ferry Inpatient Services
• Julie Taylor Evans, PHARMD

• All providers in Elizabethtown, NC
• Clinical Psychologist in North Carolina

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