Pinehurst Medical Clinic, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

39578 Issued in NC

Legal business name

PINEHURST MEDICAL CLINIC, INC.

Practice address

205 Page Rd
Pinehurst, NC 28374-8798

Phone

(910) 295-5511

Fax

(910) 235-3443

NPI assigned

May 27, 2006

Last updated

Feb 16, 2023By 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

Mr. Brandon Enfinger

Title

Ceo

Phone

(910) 235-3004

Specialties & licenses 13

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pinehurst Medical Clinic, Inc.

  dba Pinehurst Medical Clinic Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Pinehurst, NC
  • NPI 1356421853

  5991617169

  Same PAC ID
• Pinehurst Medical Clinic, Inc.

  dba PMC Reference Lab

  • Clinical Medical Laboratory
  • Southern Pines, NC
  • NPI 1962509372

  5991617169

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pinehurst Medical Clinic Inc

  dba Lumber River Cardiology

  • Medical Specialty Clinic/Center
  • Laurinburg, NC
  • NPI 1295993327

  O20031105000305

  Same enrollment

Locations

Practitioners 288

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maritza Abonza, PA-C

  • Physician Assistant
  • Pinehurst, NC
  • NPI 1386251981
  Medicare reassignment Care Compare group NPD
• Miranda Elise Alleman, APRN, NP

  • Acute Care Nurse Practitioner
  • Pinehurst, NC
  • NPI 1750849741
  Medicare reassignment Care Compare group NPD
• Christine Dawn Allen Brock, FNP-C

  • Family Nurse Practitioner
  • Sanford, NC
  • NPI 1811788219
  Medicare reassignment Care Compare group NPD
• Mahmoud Khadir Atieh, MD

  • Interventional Cardiology Physician
  • Sanford, NC
  • NPI 1700827177

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Melissa Sue Aubin, PA-C

  • Physician Assistant
  • West End, NC
  • NPI 1790155984
  Medicare reassignment Care Compare group NPD
• Aemonn Barnes, NP

  • Acute Care Nurse Practitioner
  • Pinehurst, NC
  • NPI 1053792796
  Medicare reassignment Care Compare group NPD
• Melissa Bowen Barnett, DNP, FNP-C

  • Family Nurse Practitioner
  • Pinehurst, NC
  • NPI 1306584016
  Medicare reassignment Care Compare group NPD
• Anjanette Barrick-Phillips, PA-C

  • Physician Assistant
  • West End, NC
  • NPI 1750027769
  Medicare reassignment Care Compare group NPD
• Julie G Baugher, M.D.

  • Internal Medicine Physician
  • West End, NC
  • NPI 1245218999
  Medicare reassignment Care Compare group NPD
• Lynsi Jacquelyn Beers, RD, LDN

  • Registered Dietitian
  • Pinehurst, NC
  • NPI 1376207639
  Medicare reassignment Care Compare group NPD
• Adam Richard Belanger, M.D.

  • Pulmonary Disease Physician
  • Pinehurst, NC
  • NPI 1568621332
  Medicare reassignment Care Compare group NPD
• Bethany Frye Bibey, PA-C

  • Physician Assistant
  • Sanford, NC
  • NPI 1548099666
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1255388369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PAVILION WAY",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874561",
            "telephone_number": "910-295-5511",
            "fax_number": "910-235-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PAGE RD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748798",
            "telephone_number": "910-295-5511",
            "fax_number": "910-235-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEHURST MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "ENFINGER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-235-3004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NC",
            "license": "39578",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "39578",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "39578",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "39578",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NC",
            "license": "39578",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NC",
            "license": "39578",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "39578",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "39578",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "39578",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NC",
            "license": "39578",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "39578",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "39578",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NC",
            "license": "39578",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME-PALMETTO GROUP#",
            "identifier": "0395360001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA GROUP#",
            "identifier": "CC6114",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902418",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID GROUP#",
            "identifier": "NPA775",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NC GROUP #",
            "identifier": "02418",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pinehurst Dermatology PA
• Pinehurst Family Care Center,P.a.
• Pinehurst Foot Specialist
• Pinehurst Geriatrics, Inc
• Pinehurst Medical Clinic Inc (Pinehurst Medical Clinic Pharmacy)
• Pinehurst Medical Clinic, Inc. (Pinehurst Medical Clinic Endoscopy Center)
• Pinehurst Medical Clinic, Inc.
• Pinehurst Nephrology Associates, PC
• Pinehurst Neurology, PA
• Pinehurst Neuropsychology, PLLC

• Internal Medicine Physician in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.