Family Medical Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

9900973 Issued in NC

Legal business name

FAMILY MEDICAL CENTER

Practice address

2820 Belk Mill Rd
Wingate, NC 28174-8764

Phone

(704) 624-3790

Fax

(704) 624-3578

NPI assigned

Mar 21, 2007

Last updated

Jun 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronnie Brian Outen, M.D.

Title

Physician

Phone

(704) 624-3790

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1184749574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 WEST MAIN STREET",
            "city": "MARSHVILLE",
            "state": "NC",
            "postal_code": "281030648",
            "telephone_number": "704-624-3790",
            "fax_number": "704-624-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 BELK MILL RD",
            "city": "WINGATE",
            "state": "NC",
            "postal_code": "281748764",
            "telephone_number": "704-624-3790",
            "fax_number": "704-624-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "OUTEN",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "704-624-3790",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "9900973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Wheeler Davis, PA-S2
• Jessica Davis
• Mylinh Dotruong
• Janine Douglas, PHARMD, BCPS
• Educate & Elevate Learning and Therapeutic
• Alison Rose Fitzgerald
• Gabby Fleischli
• Ebrie Chandale Franklin
• Colton Freeman
• Lacie Kendall Geisel, LAT, ATC

• Primary Care Clinic/Center in Wingate, NC
• Providers in Wingate, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.