Active NPI
Med Mart Medical Associates PLLC
- Internal Medicine Physician
- Holly Springs, NC
National Provider Identifier
1326217399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9500701
- Legal business name
- MED MART MEDICAL ASSOCIATES PLLC
- Practice address
- 7212 GB Alford Hwy
Holly Springs, NC 27540-7661 - Phone
- (919) 552-1520
- Fax
- (919) 552-8792
- NPI assigned
- Feb 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rodolfo C Reyes, MD
- Title
- Owner
- Phone
- (910) 893-4111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9500701 | NC | Primary |
Addresses
Primary practice location
7212 GB Alford Hwy
Holly Springs, NC 27540-7661
Mailing address
100 S 10TH St
Lillington, NC 27546-6690
Phone (910) 893-4111
National Provider Directory
National Provider DirectoryLocations
707 Lassiter St
Smithfield, NC 27577
Phone (919) 912-5160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265673600000",
"number": "1326217399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S 10TH ST",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275466690",
"telephone_number": "910-893-4111",
"fax_number": "910-893-9850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7212 GB ALFORD HWY",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275407661",
"telephone_number": "919-552-1520",
"fax_number": "919-552-8792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED MART MEDICAL ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-25",
"last_updated": "2010-02-09",
"status": "A",
"authorized_official_last_name": "REYES",
"authorized_official_first_name": "RODOLFO",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-893-4111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NC",
"license": "9500701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holly Springs, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.