NPIMap

Organization Active NPI

Graham Urgent Care PA

  • Urgent Care Clinic/Center
  • Graham, NC
National Provider Identifier
1457397192
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
39064 Issued in NC
Legal business name
GRAHAM URGENT CARE PA
Practice address
217 East Elm St
Graham, NC 27253
Phone
(336) 228-9671
Fax
(336) 228-9674
NPI assigned
Jun 21, 2006
Last updated
Jul 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Larry Justain Sykes, PA-CNPI 1003191503
Title
President Owner
Phone
(336) 228-9671

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 39064 NC Primary

Addresses

Primary practice location

217 East Elm St
Graham, NC 27253

Mailing address

217 East Elm St
Graham, NC 27253
Phone (336) 228-9671

Other identifiers 2

IdentifierTypeStateIssuer
017RHOtherNCBLUE CROSS BLUE SHIELD OF
5902891MedicaidNC

National Provider Directory

National Provider Directory

Locations

217 E Elm St
Graham, NC 27253
Phone (336) 228-9671

Practitioners & affiliated clinicians

Practitioners 1

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": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1457397192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 EAST ELM ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "27253",
            "telephone_number": "336-228-9671",
            "fax_number": "336-228-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 EAST ELM ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "27253",
            "telephone_number": "336-228-9671",
            "fax_number": "336-228-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM URGENT CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "SYKES",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "JUSTAIN",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "336-228-9671",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NC",
            "license": "39064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "017RH",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902891",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Graham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.