Patriotmed of North Carolina, P.C.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

PATRIOTMED OF NORTH CAROLINA, P.C.

Practice address

2350 Bentridge LN Ste 400
Fayetteville, NC 28304-0590

Phone

(480) 369-1270

NPI assigned

Jan 22, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Robert Scott Thornock

Title

Chief Strategy Officer

Phone

(480) 369-1270

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Patriotmed of North Carolina PC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

• Patriotmed of North Carolina, P.C.

  • Radiology Clinic/Center
  • Wilmington, NC
  • NPI 1104761337
  NPD tax ID
• Patriotmed of North Carolina, P.C.

  • Radiology Clinic/Center
  • Grover, NC
  • NPI 1588509715
  NPD tax ID
• Patriotmed of North Carolina, P.C.

  • Radiology Clinic/Center
  • Durham, NC
  • NPI 1689519811
  NPD tax ID
• Patriotmed of North Carolina, P.C.

  • Radiology Clinic/Center
  • Winston Salem, NC
  • NPI 1841135076
  NPD tax ID
• Patriotmed of North Carolina, P.C.

  • Radiology Clinic/Center
  • Jacksonville, NC
  • NPI 1932044161
  NPD tax ID
• Patriotmed of North Carolina, P.C.

  • Radiology Clinic/Center
  • Greenville, NC
  • NPI 1942145172
  NPD tax ID

Locations

Practitioners 5

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

• Daniel S Gordon, MD

  • Diagnostic Radiology Physician
  • Fayetteville, NC
  • NPI 1275589012
  Medicare reassignment
• Kanika Thapar, MD

  • Diagnostic Radiology Physician
  • Durham, NC
  • NPI 1568924959
  Medicare reassignment
• Jared Whiting Allen, MD

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1023265840

  NC

  Medicare reassignment
• James Anderson Shirley, M.D

  • Diagnostic Radiology Physician
  • Traverse City, MI
  • NPI 1427176429

  NC

  Medicare reassignment
• Jason J Smythe, M.D.

  • Diagnostic Radiology Physician
  • McHenry, IL
  • NPI 1831361963

  NC

  Medicare reassignment

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1407668908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22601 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271326",
            "telephone_number": "480-369-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 BENTRIDGE LN STE 400",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283040590",
            "telephone_number": "480-369-1270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1721 Allens Ln Ste 221-222",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284033661",
            "country_code": "US",
            "telephone_number": "910-805-9329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 N Main St",
            "address_purpose": "LOCATION",
            "city": "Grover",
            "state": "NC",
            "postal_code": "280739553",
            "country_code": "US",
            "telephone_number": "704-457-4075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2313 Executive Cir Ste D",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278343744",
            "country_code": "US",
            "telephone_number": "252-561-7227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4113 Capitol St Ste C",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277042390",
            "country_code": "US",
            "telephone_number": "919-294-6007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4410 Providence Ln Ste G",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271063242",
            "country_code": "US",
            "telephone_number": "336-602-2793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Valencia Dr Ste 138",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285466311",
            "country_code": "US",
            "telephone_number": "910-805-0043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATRIOTMED OF NORTH CAROLINA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-22",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "THORNOCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF STRATEGY OFFICER",
        "authorized_official_telephone_number": "480-369-1270",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "247100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathways to Empowerment Counseling Center
• Patrice a. Barber, DDS & Associates, PA
• Patricia H Geiger
• Patricia Sunshine Duggan
• Patriot Family Eye Care , O.D, P.a.
• Patterson Home Care, Inc.
• Ashley Patterson, DPT
• Breonna Patterson
• Chakalyn Patterson
• Janya Patterson, RBT

• Diagnostic Radiology Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Diagnostic Radiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.