Individual provider Active NPI

Roland C. Draughn, M.D.

  • Obstetrics & Gynecology Physician
  • Warsaw, NC
National Provider Identifier
1295886166
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
37821 Issued in NC
Practice address
603 E College St
Warsaw, NC 28398-2104
Phone
(910) 293-3900
Fax
(910) 293-6702
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 37821 NC Primary

Addresses

Primary practice location

603 E College St
Warsaw, NC 28398-2104

Mailing address

603 E College St
Warsaw, NC 28398-2104
Phone (910) 293-3900

Other identifiers 1

IdentifierTypeStateIssuer
8929167MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1295886166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E COLLEGE ST",
            "city": "WARSAW",
            "state": "NC",
            "postal_code": "283982104",
            "telephone_number": "910-293-3900",
            "fax_number": "910-293-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E COLLEGE ST",
            "city": "WARSAW",
            "state": "NC",
            "postal_code": "283982104",
            "telephone_number": "910-293-3900",
            "fax_number": "910-293-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAUGHN",
        "first_name": "ROLAND",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "37821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8929167",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.