DLP Person Physician Practices, LLC

Organization Active NPI Gastroenterology Physician · Roxboro, NC

NPI 1134560402 · NPPES record last updated Jan 14, 2025

Key facts

NPI
1134560402
Entity type
Organization (NPI type 2)
Primary specialty
Gastroenterology Physician 207RG0100X
Legal business name
DLP PERSON PHYSICIAN PRACTICES, LLC
Practice address
503 Ridge Rd
Roxboro, NC 27573-4627
Phone
(336) 503-5703
Fax
(336) 322-1819
NPI assigned
Jul 15, 2013
Organization subpart
No

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7000

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20111118000210 NC Part B Supplier - Clinic/Group Practice 8123292604 Receives reassigned benefits from 22 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Roxboro, NC

National Provider Directory

Tax ID family
DLP Person Physician Practices LLC (5 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207RG0100X Yes

Addresses

Primary practice location

503 Ridge Rd
Roxboro, NC 27573-4627

Mailing address

PO Box 561
Roxboro, NC 27573-0561
Phone (336) 503-4810

Other names

  • Person Health Gastroenterology Doing business as

Other providers in Roxboro, NC

All providers in Roxboro, NC · Gastroenterology Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.