Cherryville Primary Care

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

207771 Issued in NC

Legal business name

CHERRYVILLE PRIMARY CARE

Practice address

112 Oak St
Cherryville, NC 28021-3423

Phone

(980) 487-2200

NPI assigned

Apr 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Thomas White, M.D.

Title

Doctor

Phone

(980) 487-2200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1174881940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 BUR OAK DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280560005",
            "telephone_number": "704-747-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 OAK ST",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280213423",
            "telephone_number": "980-487-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRYVILLE PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "980-487-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "207771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caromont Medical Group Inc
• CCJ Adult Care IV LLC
• Century Care of Cherryville, Inc
• Priya Chandrasekaran
• Cherryville Dental Clinic
• Cherryville Primary Care
• Vellessia Annette Church, PTA
• Cleco Primary Care Network
• Paul Hunter Cloninger, DDS PA
• Cearira S Cowan

• All providers in Cherryville, NC
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.