Organization Active NPI

Restoration Medical Clinics, PC

  • Internal Medicine Physician
  • Lexington, NC
National Provider Identifier
1174068837
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RESTORATION MEDICAL CLINICS, PC
Practice address
114 W Medical Park Dr
Lexington, NC 27292-6773
Phone
(336) 249-8760
Fax
(336) 249-2710
NPI assigned
Jan 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Charles W. Plummer, MD
Title
President
Phone
(336) 870-5084

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Addiction Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LA0401X
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

114 W Medical Park Dr
Lexington, NC 27292-6773

Mailing address

114 W Medical Park Dr
Lexington, NC 27292-6773
Phone (336) 249-8760

Other practice location 1

6781 Old US Highway 52
Lexington, NC 27295-5336
Phone (336) 619-4036

Other practice location 2

999 Tabor Rd
Olin, NC 28660-9471
Phone (704) 546-7121

Other practice location 3

2025 Martin Luther King Jr Dr Ste E
Greensboro, NC 27406-3334
Phone (336) 291-8344

Other practice location 4

530 N Elam Ave
Suite C
Greensboro, NC 27403-1153
Phone (336) 285-7853

Other practice location 5

5718 W US Highway 64 Ste 10
Murphy, NC 28906-8174
Phone (828) 516-2121

Other names 2

  • Charles W. Plummer, MD, PC Former legal business name
  • Restoration Medical Clinics, PC Former legal business name

National Provider Directory

National Provider Directory

Locations

700 W Main St
Jamestown, NC 27282
Phone (336) 454-1166

6781 Old US Highway 52
Lexington, NC 27295
Phone (336) 619-4036

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174068837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W MEDICAL PARK DR",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272926773",
            "telephone_number": "336-249-8760",
            "fax_number": "336-249-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W MEDICAL PARK DR",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272926773",
            "telephone_number": "336-249-8760",
            "fax_number": "336-249-2710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6781 Old US Highway 52",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NC",
            "postal_code": "272955336",
            "country_code": "US",
            "telephone_number": "336-619-4036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "999 Tabor Rd",
            "address_purpose": "LOCATION",
            "city": "Olin",
            "state": "NC",
            "postal_code": "286609471",
            "country_code": "US",
            "telephone_number": "704-546-7121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 Martin Luther King Jr Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274063334",
            "country_code": "US",
            "telephone_number": "336-291-8344",
            "fax_number": "336-291-8878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 N Elam Ave",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274031153",
            "country_code": "US",
            "telephone_number": "336-285-7853",
            "fax_number": "336-291-8878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5718 W US Highway 64 Ste 10",
            "address_purpose": "LOCATION",
            "city": "Murphy",
            "state": "NC",
            "postal_code": "289068174",
            "country_code": "US",
            "telephone_number": "828-516-2121",
            "fax_number": "828-516-2125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORATION MEDICAL CLINICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PLUMMER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-870-5084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles W. Plummer, MD, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Restoration Medical Clinics, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lexington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.