Diabesitymd

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DIABESITYMD

Practice address

10 Middleton Dr
Zebulon, NC 27597-9246

Phone

(919) 404-9208

Fax

(888) 876-2631

NPI assigned

Dec 21, 2020

Organization subpart

No

Name

Giselle Blair, MD

Title

Owner

Phone

(919) 404-9208

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22797/brand/1/csg/1/fhir/r4

• DiabesityMD PLLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 21, 2020.

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1265028518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MIDDLETON DR",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275979246",
            "telephone_number": "919-404-9208",
            "fax_number": "888-876-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MIDDLETON DR",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275979246",
            "telephone_number": "919-404-9208",
            "fax_number": "888-876-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABESITYMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "GISELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-404-9208",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DiabesityMD PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Zebulon, NC
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.