NPIMap

Organization Active NPI

South Court Medical Care PA

  • General Practice Physician
  • Graham, NC
National Provider Identifier
1316345127
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
205972 Issued in NC
Legal business name
SOUTH COURT MEDICAL CARE PA
Practice address
217 E Elm St
Graham, NC 27253-3021
Phone
(336) 228-9671
Fax
(336) 228-9674
NPI assigned
Dec 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
Larry Sykes, PA
Title
President
Phone
(336) 228-9671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 205972 NC Primary

Addresses

Primary practice location

217 E Elm St
Graham, NC 27253-3021

Mailing address

217 E Elm St
Graham, NC 27253-3021
Phone (336) 228-9671

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1316345127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E ELM ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272533021",
            "telephone_number": "336-228-9671",
            "fax_number": "336-228-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E ELM ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272533021",
            "telephone_number": "336-228-9671",
            "fax_number": "336-228-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COURT MEDICAL CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "SYKES",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-228-9671",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NC",
            "license": "205972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Graham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.