Organization Active NPI

Sandhills Surgical Associates Clinic, Inc

  • Specialist
  • Hamlet, NC
National Provider Identifier
1396791661
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9501173 Issued in NC
Legal business name
SANDHILLS SURGICAL ASSOCIATES CLINIC, INC
Practice address
100 Jefferson St
Hamlet, NC 28345-3100
Phone
(910) 582-5420
Fax
(910) 582-5421
NPI assigned
May 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Saeb Bayazid, MDNPI 1295721751
Title
Owner
Phone
(910) 582-5420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9501173 NC Primary

Addresses

Primary practice location

100 Jefferson St
Hamlet, NC 28345-3100

Mailing address

100 Jefferson St
Hamlet, NC 28345-3100
Phone (910) 582-5420

Other identifiers 3

IdentifierTypeStateIssuer
011RFOtherNCBLUE CROSS BLUE SHIELD
89011RFMedicaidNC
CH4251OtherNCRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

100 Jefferson St
Hamlet, NC 28345
Phone (910) 582-3536

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396791661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 JEFFERSON ST",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283453100",
            "telephone_number": "910-582-5420",
            "fax_number": "910-582-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JEFFERSON ST",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283453100",
            "telephone_number": "910-582-5420",
            "fax_number": "910-582-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHILLS SURGICAL ASSOCIATES CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAYAZID",
        "authorized_official_first_name": "SAEB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-582-5420",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "9501173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "011RF",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011RF",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH4251",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamlet, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.