Sandhills Family Practice P a

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SANDHILLS FAMILY PRACTICE P A

Practice address

101 Church Street
Broadway, NC 27505

Phone

(919) 258-9214

Fax

(919) 258-6693

NPI assigned

Apr 18, 2007

Last updated

Dec 27, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

SANDHILLS FAMILY PRACTICE PAAs reported in NPPES

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

Authorized official

Name

Robin M Thompson

Title

Insurance Manager

Phone

(919) 774-6023

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Sandhills Family Practi

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Sandhills Family Practice PA

  • Family Medicine Physician
  • Sanford, NC
  • NPI 1780653279
  NPPES parent name

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1356568927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 CARTHAGE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304162",
            "telephone_number": "919-774-6023",
            "fax_number": "919-774-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHURCH STREET",
            "city": "BROADWAY",
            "state": "NC",
            "postal_code": "27505",
            "telephone_number": "919-258-9214",
            "fax_number": "919-258-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHILLS FAMILY PRACTICE P A",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANDHILLS FAMILY PRACTICE PA",
        "enumeration_date": "2007-04-18",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "919-774-6023"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5921115",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890134A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Manning, DMD
• Mary H Finch Total Care LLC
• Markita Rena McCrimmon
• Fanny Navarro Avila, MSW, LCSWA
• Kayce Parker, PHARMD
• Sloan & Sloan DDS PLLC
• Eldon Sloan III, D.D.S
• Eldon F Sloan Jr.
• Jamie Suttles
• Richard Edward Taylor

• Family Medicine Physician in Broadway, NC
• Providers in Broadway, 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 Dec 27, 2012; 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.