Pine Ridge of Pittsboro Primary Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

1471502 Issued in NC

Legal business name

PINE RIDGE OF PITTSBORO PRIMARY CARE LLC

Practice address

628-B Highway 64 East
Pittsboro, NC 27312

Phone

(919) 542-4550

NPI assigned

Oct 9, 2015

Organization subpart

Yes

Parent organization

SANFORD SANDHILLS EMERGENCY PHYSICIAN PCAs reported in NPPES

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

Authorized official

Name

Dr. Franklin Hargett, MD

Title

VP Operations

Phone

(919) 542-4550

Specialties & licenses 1

Addresses

Part of

Sanford Sandhills Em

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1194196683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1163",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273311163",
            "telephone_number": "919-542-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628-B HIGHWAY 64 EAST",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "27312",
            "telephone_number": "919-542-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE RIDGE OF PITTSBORO PRIMARY CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANFORD SANDHILLS EMERGENCY  PHYSICIAN PC",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "HARGETT",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "919-542-4550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "1471502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci Paxson, MS, CCC-SLP
• Michael Allen Peele, DDS
• Anna Grace Peeler, LPC
• Piedmont Health Services, Inc.
• Samantha Jo Pilkenton
• Pittsboro Discount Drug, Inc
• Pittsboro Discount Drug, Inc
• Pittsboro Family Eye Center
• Pittsboro Health & Rehab Center, LLC
• Pittsboro Pediatric Psychology and ADHD Clinic

• Primary Care Clinic/Center in Pittsboro, NC
• Providers in Pittsboro, 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 Oct 9, 2015; 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.