Pinehurst Family Care Center,P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PINEHURST FAMILY CARE CENTER,P.A.

Practice address

10 Aviemore Dr
Pinehurst, NC 28374-9700

Phone

(910) 215-5555

Fax

(910) 215-6134

NPI assigned

Mar 27, 2006

Last updated

Aug 22, 2020By 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

Mrs. Susan R Blake

Title

Office Manager

Phone

(910) 215-5555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306806815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 AVIEMORE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749700",
            "telephone_number": "910-215-5555",
            "fax_number": "910-215-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 AVIEMORE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749700",
            "telephone_number": "910-215-5555",
            "fax_number": "910-215-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEHURST FAMILY CARE CENTER,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-215-5555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinehurst Alternative Medicine
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• Pinehurst Geriatrics, Inc
• Pinehurst Medical Clinic Inc (Pinehurst Medical Clinic Pharmacy)
• Pinehurst Medical Clinic, Inc.
• Pinehurst Medical Clinic, Inc. (Pinehurst Medical Clinic Endoscopy Center)

• Family Medicine Physician in Pinehurst, NC
• Providers in Pinehurst, 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 Aug 22, 2020; 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.