Organization Active NPI

Garner Lighthouse

  • Family Medicine Physician
  • Garner, NC
National Provider Identifier
1346623659
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GARNER LIGHTHOUSE
Practice address
607 Benson Rd
Garner, NC 27529-3988
Phone
(919) 594-1354
Fax
(919) 594-1369
NPI assigned
Jul 6, 2015
Last updated
Jul 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Mr. Richard Henry Fleming
Title
Director
Phone
(919) 422-3663

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Substance Abuse Rehabilitation Facility 324500000X 29910 NC
Sleep Medicine (Internal Medicine) Physician 207RS0012X

Addresses

Primary practice location

607 Benson Rd
Garner, NC 27529-3988

Mailing address

607 Benson Rd
Garner, NC 27529-3988
Phone (919) 594-1354

National Provider Directory

National Provider Directory
Tax ID family
Garner Lighthouse2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1346623659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 BENSON RD",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293988",
            "telephone_number": "919-594-1354",
            "fax_number": "919-594-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BENSON RD",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293988",
            "telephone_number": "919-594-1354",
            "fax_number": "919-594-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARNER LIGHTHOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-422-3663",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NC",
            "license": "29910",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.