Holly Springs Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HOLLY SPRINGS FAMILY PRACTICE

Practice address

104 Ararat Long Hill Rd
Pilot Mountain, NC 27041-8113

Phone

(336) 786-7966

Fax

(336) 786-1601

NPI assigned

Aug 17, 2006

Last updated

Jun 21, 2018By 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

Randall S Keith, MDNPI 1477558542

Title

Medical Doctor

Phone

(336) 786-7966

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randall Scott Keith, M.D.

  • Family Medicine Physician
  • Pilot Mountain, NC
  • NPI 1477558542
  NPD (past) Authorized official

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1346353869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ARARAT LONG HILL RD",
            "city": "PILOT MOUNTAIN",
            "state": "NC",
            "postal_code": "270418113",
            "telephone_number": "336-786-7966",
            "fax_number": "336-786-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ARARAT LONG HILL RD",
            "city": "PILOT MOUNTAIN",
            "state": "NC",
            "postal_code": "270418113",
            "telephone_number": "336-786-7966",
            "fax_number": "336-786-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY SPRINGS FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "336-786-7966",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forsyth Memorial Hospital Inc (Novant Health Pilot Mountain Medical Care)
• Donna Goins
• Harrison Therapy, PLLC
• Michelle Hiatt
• Lee Ann Holland, RPH
• Hyke Family Eyecare OD PLLC
• Stephanie Cheryl Johnson, M.A., LPC
• Samantha Smith Joyce, FNP
• Randall Scott Keith, M.D.
• Kent N. Tucker,D.D.S.,P.a.

• Family Medicine Physician in Pilot Mountain, NC
• Providers in Pilot Mountain, 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 Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.