Reidsville Family Medicine, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REIDSVILLE FAMILY MEDICINE, PA

Practice address

520 Maple Ave
Suite B
Reidsville, NC 27320-4652

Phone

(336) 634-3960

Fax

(336) 634-3919

NPI assigned

Oct 7, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Dehart Bailey

Title

Office Manager

Phone

(336) 634-3960

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Alfred Luking, M.D.

  • Family Medicine Physician
  • Reidsville, NC
  • NPI 1912903188
  NPD (past)

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1316935018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MAPLE AVE",
            "address_2": "SUITE B",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273204652",
            "telephone_number": "336-634-3960",
            "fax_number": "336-634-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MAPLE AVE",
            "address_2": "SUITE B",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273204652",
            "telephone_number": "336-634-3960",
            "fax_number": "336-634-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REIDSVILLE FAMILY MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "DEHART",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-634-3960",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890203M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Reaser
• Amanda Saunders Rebb, PHARMD
• Regional Medical Equipment
• Najeeb U. Rehman, MD
• Reidsville Community Physicians Inc
• Reidsville Health Holdings LLC
• Reidsville Holdings LLC
• Reidsville Imaging Center, LLC
• Reidsville Pharmacy Inc
• Remmsco, Inc.

• Family Medicine Physician in Reidsville, NC
• Providers in Reidsville, 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 Dec 17, 2010; 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.