Integrative Medical Clinic of North Carolina, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2007-00375 Issued in NC

Legal business name

INTEGRATIVE MEDICAL CLINIC OF NORTH CAROLINA, PLLC

Practice address

5915 Farrington Rd Ste 106
Chapel Hill, NC 27517

Phone

(984) 999-0902

NPI assigned

Dec 19, 2017

Organization subpart

No

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

Authorized official

Name

Julieanne G McGregor, MD

Title

Owner

Phone

(984) 999-0902

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21054/brand/1/csg/1/fhir/r4

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Addie Skow, NP

  • Primary Care Nurse Practitioner
  • Chapel Hill, NC
  • NPI 1578131876
  Medicare reassignment NPD
• Stephanie Graves, PA-C

  • Physician Assistant
  • West End, NC
  • NPI 1164714028
  Medicare reassignment
• William Franklin Pendergraft III, M.D., PH.D.

  • Internal Medicine Physician
  • Chapel Hill, NC
  • NPI 1578899282
  Medicare reassignment
• Peter B Bressler, MD

  • Allergy & Immunology Physician
  • Durham, NC
  • NPI 1972583656

  Internal Medicine

  NPD
• Moli Arin Eddins, NP

  • Nurse Practitioner
  • Chapel Hill, NC
  • NPI 1205536810

  Multi-Specialty

  NPD
• Jeremy Ryan, NP

  • Family Nurse Practitioner
  • Chapel Hill, NC
  • NPI 1538544341
  NPD

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1407362023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 OLD PITTSBORO RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275163019",
            "telephone_number": "984-999-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 FARRINGTON RD STE 106",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27517",
            "telephone_number": "984-999-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICAL CLINIC OF NORTH CAROLINA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "MCGREGOR",
        "authorized_official_first_name": "JULIEANNE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "984-999-0902",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2007-00375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.