Organization Active NPI

Horizon Family Medicine, PA

  • Family Medicine Physician
  • Smithfield, NC
National Provider Identifier
1245332378
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39285 Issued in NC
Legal business name
HORIZON FAMILY MEDICINE, PA
Practice address
410 Canterbury Rd
Smithfield, NC 27577-4861
Phone
(919) 934-5149
Fax
(919) 934-5632
NPI assigned
Sep 1, 2006
Last updated
Sep 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
Dr. Joseph T Liverman Jr., M.D.
Title
Vice-President
Phone
(919) 934-5149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39285 NC Primary

Addresses

Primary practice location

410 Canterbury Rd
Smithfield, NC 27577-4861

Mailing address

410 Canterbury Rd
Smithfield, NC 27577-4861
Phone (919) 934-5149

Other identifiers 2

IdentifierTypeStateIssuer
CA2296OtherNCRAILROAD MEDICARE
8902686MedicaidNC

National Provider Directory

National Provider Directory

Locations

236 Butternut Ln
Clayton, NC 27520
Phone (919) 359-1011

100 E Sanders St
Four Oaks, NC 27524
Phone (910) 813-0814

410 Canterbury Rd
Smithfield, NC 27577
Phone (919) 934-5149

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1245332378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CANTERBURY RD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774861",
            "telephone_number": "919-934-5149",
            "fax_number": "919-934-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CANTERBURY RD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774861",
            "telephone_number": "919-934-5149",
            "fax_number": "919-934-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON FAMILY MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "LIVERMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "919-934-5149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "39285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA2296",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902686",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.