NPIMap

Organization Active NPI

Pinehurst Medical Clinic, Inc.

Doing business as Pinehurst Medical Clinic Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Pinehurst, NC
National Provider Identifier
1356421853
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
AS0073 Issued in NC
Legal business name
PINEHURST MEDICAL CLINIC, INC.
Doing business as
Pinehurst Medical Clinic Endoscopy Center
Practice address
15 Regional Dr
Pinehurst, NC 28374-8850
Phone
(910) 295-5511
Fax
(910) 235-3432
NPI assigned
Oct 17, 2006
Last updated
Jun 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Brandon Enfinger
Title
Ceo
Phone
(910) 235-3004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X AS0073 NC Primary

Addresses

Primary practice location

15 Regional Dr
Pinehurst, NC 28374-8850

Mailing address

205 Page Rd
Pinehurst, NC 28374-8798
Phone (910) 295-5511

Other practice location 1

110 Dennis Dr
Sanford, NC 27330-6343
Phone (919) 774-4511

Other identifiers 2

IdentifierTypeStateIssuer
3409941MedicaidNC
AS0094OtherNCLICENSE

Other names 1

  • Pinehurst Medical Clinic Endoscopy Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061018000113 NC Part B Supplier - Ambulatory Surgical Center 5991617169 Receives reassigned benefits from 3 practitioners
Practice locations: Pinehurst, NC; Sanford, NC

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Pinehurst Medical Clinic IncCCN 34C0001116

National Provider Directory

National Provider Directory
Tax ID family
PMC Laboratory4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1902 N Sandhills Blvd
Ste C
Aberdeen, NC 28315
Phone (910) 692-4011

1301 Medical Dr
Fayetteville, NC 28304
Phone (910) 486-8080

110 Fields Dr
Ste A
Sanford, NC 27330
Phone (919) 777-9005

1409 Greenway Ct
Sanford, NC 27330
Phone (919) 292-1201

1816 Doctors Dr
Sanford, NC 27330
Phone (919) 708-1555

555 Carthage St
Sanford, NC 27330
Phone (919) 774-6518

355 S Bennett St
Southern Pnes, NC 28387
Phone (910) 295-4400

Practitioners & affiliated clinicians

Practitioners 204

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.

View all 204

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1356421853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PAGE RD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748798",
            "telephone_number": "910-295-5511",
            "fax_number": "910-235-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 REGIONAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748850",
            "telephone_number": "910-295-5511",
            "fax_number": "910-235-3432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Dennis Dr",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273306343",
            "country_code": "US",
            "telephone_number": "919-774-4511",
            "fax_number": "919-774-3196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PINEHURST MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "ENFINGER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-235-3004"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NC",
            "license": "AS0073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409941",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AS0094",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinehurst Medical Clinic Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pinehurst Medical Clinic Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.