Organization Active NPI

Tarheel Family Medicine PA

  • Family Medicine Physician
  • Hamlet, NC
National Provider Identifier
1285778829
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35275 Issued in NC
Legal business name
TARHEEL FAMILY MEDICINE PA
Practice address
224 W Main St
Ste a
Hamlet, NC 28345-3322
Phone
(910) 582-2696
Fax
(910) 582-2640
NPI assigned
Feb 16, 2007
Last updated
Jan 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Authorized official

Name
Dr. Melva Richardson Bowman, M.D.NPI 1992895361
Title
Corporate President
Phone
(910) 582-2696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35275 NC Primary

Addresses

Primary practice location

224 W Main St
Ste a
Hamlet, NC 28345-3322

Mailing address

224 W Main St
Ste a
Hamlet, NC 28345-3322
Phone (910) 582-2696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070228000413 NC Part B Supplier - Clinic/Group Practice 9133221708 Receives reassigned benefits from 1 practitioner
Practice locations: Hamlet, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0985740Tarheel Family Medicine PA224 W Main Street, Hamlet, NC 28345Provider-performed microscopyApr 26, 2027

National Provider Directory

National Provider Directory

Locations

224 W Main St
Hamlet, NC 28345
Phone (910) 205-2229

224 W Main St
#A
Hamlet, NC 28345
Phone (910) 582-2696

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1285778829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W MAIN ST",
            "address_2": "STE A",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283453322",
            "telephone_number": "910-582-2696",
            "fax_number": "910-582-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W MAIN ST",
            "address_2": "STE A",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283453322",
            "telephone_number": "910-582-2696",
            "fax_number": "910-582-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARHEEL FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "MELVA",
        "authorized_official_middle_name": "RICHARDSON",
        "authorized_official_title_or_position": "CORPORATE PRESIDENT",
        "authorized_official_telephone_number": "910-582-2696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "35275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamlet, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.