Organization Active NPI

Med Mart Medical Associates PLLC

  • Internal Medicine Physician
  • Holly Springs, NC
National Provider Identifier
1326217399
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9500701 Issued in NC
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

Updated by the provider on Feb 9, 2010

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.