Organization Active NPI

Sandhills Neurologists, P.a.

  • Specialist
  • Pinehurst, NC
National Provider Identifier
1295803864
Registry record updated Oct 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SANDHILLS NEUROLOGISTS, P.A.
Practice address
295 Olmsted Blvd
Mellon BLDG. Ste. 12
Pinehurst, NC 28374-9131
Phone
(910) 235-0595
Fax
(910) 235-0546
NPI assigned
Dec 1, 2006
Last updated
Oct 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2022

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

Authorized official

Name
Donna Manjorin
Title
Practice Manager
Phone
(910) 235-0595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NC Primary

Addresses

Primary practice location

295 Olmsted Blvd
Mellon BLDG. Ste. 12
Pinehurst, NC 28374-9131

Mailing address

PO Box 4005
Pinehurst, NC 28374-4005
Phone (910) 235-0595

Other practice location 1

251 Keisler Dr Ste 100
Cary, NC 27518-7091
Phone (910) 235-0595

Other practice location 2

101 Dennis Dr
Sanford, NC 27330-6343
Phone (910) 235-0595

Other identifiers 3

IdentifierTypeStateIssuer
CH0889OtherNCRAILROAD MEDICARE
89011CTMedicaidNC
011CTOtherNCBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666483200000",
    "number": "1295803864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4005",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283744005",
            "telephone_number": "910-235-0595",
            "fax_number": "910-235-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 OLMSTED BLVD",
            "address_2": "MELLON BLDG. STE. 12",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749131",
            "telephone_number": "910-235-0595",
            "fax_number": "910-235-0546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 Keisler Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187091",
            "country_code": "US",
            "telephone_number": "910-235-0595",
            "fax_number": "910-235-0546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Dennis Dr",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273306343",
            "country_code": "US",
            "telephone_number": "910-235-0595",
            "fax_number": "910-235-0546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANDHILLS NEUROLOGISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2022-10-23",
        "certification_date": "2022-10-23",
        "status": "A",
        "authorized_official_last_name": "MANJORIN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "910-235-0595"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH0889",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011CT",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "011CT",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2022; 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.