Village Family Practice of Holly Springs PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VILLAGE FAMILY PRACTICE OF HOLLY SPRINGS PLLC

Practice address

351 W. Center Street
Holly Springs, NC 27540-5902

Phone

(919) 577-6900

Fax

(919) 577-2008

NPI assigned

Jun 11, 2010

Last updated

Jun 25, 2010By 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

Dr. Steven Brian Gallup, MDNPI 1427010461

Title

Physician/Owner

Phone

(919) 577-6900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Steven B Gallup, MD

  • Family Medicine Physician
  • Holly Springs, NC
  • NPI 1427010461
  Authorized official Same address or phone

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1265752364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 W. CENTER STREET",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275405902",
            "telephone_number": "919-577-6900",
            "fax_number": "919-577-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 W. CENTER STREET",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275405902",
            "telephone_number": "919-577-6900",
            "fax_number": "919-577-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE FAMILY PRACTICE OF HOLLY SPRINGS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-11",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "GALLUP",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "919-577-6900",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

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• Family Medicine Physician in Holly Springs, NC
• Providers in Holly Springs, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.