Southpoint Family Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

225780 Issued in NC

Legal business name

SOUTHPOINT FAMILY MEDICINE, PLLC

Practice address

1515 W NC Highway 54 Ste 130
Durham, NC 27707-5575

Phone

(984) 219-3916

Fax

(919) 921-8161

NPI assigned

Mar 31, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Chrystal Pike

Title

Authorized Official

Phone

(984) 219-3916

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 9

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.

• Hana Alkhaldi, M.D.

  • Family Medicine Physician
  • Raleigh, NC
  • NPI 1295041937
  Medicare reassignment NPD
• Elizabeth Helen Aronin, AGPCNP

  • Adult Health Nurse Practitioner
  • Durham, NC
  • NPI 1235676628
  Medicare reassignment NPD
• Tiffany Michelle Cagle, M.D.

  • Family Medicine Physician
  • Durham, NC
  • NPI 1083957971
  Medicare reassignment NPD
• Katherine McDaniel Kulenic, FNP-BC

  • Family Nurse Practitioner
  • Durham, NC
  • NPI 1083918841
  Medicare reassignment NPD
• Kate B McNulty, ADULT NURSE PRACTITI

  • Adult Health Nurse Practitioner
  • Durham, NC
  • NPI 1093908097
  Medicare reassignment NPD
• Nicole Yvette Winbush, MD

  • Family Medicine Physician
  • Durham, NC
  • NPI 1902991458
  Medicare reassignment NPD
• Tiffany Marum, M.D.

  • Family Medicine Physician
  • Durham, NC
  • NPI 1548466204
  NPD
• Krystol Johnston O'Rourke, M.D.

  • Family Medicine Physician
  • Geneseo, NY
  • NPI 1811975287
  NPD
• Barbara A Bergdolt, MD

  • Pediatrics Physician
  • Chapel Hill, NC
  • NPI 1558459719
  NPD (past)

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1306378005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W NC HIGHWAY 54 STE 130",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075575",
            "telephone_number": "984-219-3916",
            "fax_number": "919-921-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W NC HIGHWAY 54 STE 130",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075575",
            "telephone_number": "984-219-3916",
            "fax_number": "919-921-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPOINT FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "PIKE",
        "authorized_official_first_name": "CHRYSTAL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "984-219-3916",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "225780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin William Southerland, MD
• Southern Assisted Living, LLC. (Brookdale Durham)
• Southern Home Care Services, Inc.
• Southern Psychology P a
• Southern States Staffing Inc
• Southpoint Medicine and Women's Health Assocates
• Southpoint Opco LLC
• Southpoint Plastic Surgery, PC
• Southpoint Podiatry, Inc.
• Southpoint Surgery Center LLC

• Family Medicine Physician in Durham, NC
• Providers in Durham, 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 Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.