NPIMap

Organization Active NPI

Sandhills Internal Medicine Clinic, PA

  • Internal Medicine Physician
  • Rockingham, NC
National Provider Identifier
1114042223
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
95-00413 Issued in NC
Legal business name
SANDHILLS INTERNAL MEDICINE CLINIC, PA
Practice address
125 Biltmore Dr
Suite #2
Rockingham, NC 28379-4928
Phone
(910) 895-6650
Fax
(910) 895-6682
NPI assigned
Mar 20, 2007
Last updated
Oct 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
Dr. Amir M Darwish, MDNPI 1699767665
Title
President
Phone
(910) 895-6650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5005332 NC
Internal Medicine Physician 207R00000X 95-00413 NC Primary

Addresses

Primary practice location

125 Biltmore Dr
Suite #2
Rockingham, NC 28379-4928

Mailing address

PO Box 1446
Rockingham, NC 28380-1446
Phone (910) 895-6650

Other identifiers 5

IdentifierTypeStateIssuer
019EJOtherNCBC BS OF NC GROUP
NPA860MedicaidSC
5906208MedicaidNC
CG4083OtherNCRAILROAD MCR GROUP
232042OtherNCMEDICARE GROUP SIM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1114042223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1446",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283801446",
            "telephone_number": "910-895-6650",
            "fax_number": "910-895-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BILTMORE DR",
            "address_2": "SUITE #2",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794928",
            "telephone_number": "910-895-6650",
            "fax_number": "910-895-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHILLS INTERNAL MEDICINE CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "DARWISH",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-895-6650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5005332",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "95-00413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF NC GROUP",
            "identifier": "019EJ",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPA860",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906208",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD  MCR GROUP",
            "identifier": "CG4083",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP SIM",
            "identifier": "232042",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.