Acts Signature Community Services, Inc.
Organization Active NPI Internal Medicine Physician · Columbus, NC
NPI 1487056578 · NPPES record last updated Feb 20, 2024
Key facts
- NPI
- 1487056578
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ACTS SIGNATURE COMMUNITY SERVICES, INC.
- Practice address
- 617 Laurel Lake Drive
Columbus, NC 28722-7420 - Phone
- (828) 894-3000
- Fax
- (828) 894-2959
- NPI assigned
- Sep 19, 2014
- Organization subpart
- No
Authorized official
- Name
- Susan Ahern
- Title
- SVP, Cfo
- Phone
- (215) 661-8330
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 27
Practitioners 2
-
Stephanie Hodgson Pitts, APRN
-
Brandy N White, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150217000898 | NC | Part B Supplier - Clinic/Group Practice | 1951212380 |
Receives reassigned benefits from 6 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Columbus, NC; Matthews, NC |
| O20160517001001 | NC | Part B Supplier - Clinic/Group Practice | 5092032284 |
Receives reassigned benefits from 7 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Columbus, NC; Matthews, NC |
National Provider Directory
- Tax ID family
- Acts Community Signature Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
617 Laurel Lake Drive
Columbus, NC 28722-7420
Mailing address
420 Delaware Dr
Fort Washington, PA 19034-2711
Phone (267) 787-4097
Other names
- Primary Care Services at Tryon Estates
Other providers in Columbus, NC
- Acts Retirement-Life Communities Inc
- Acts Retirement-Life Communities, Inc.
- Kelli Allison Adams
- Advanced Wellness Institute PA
- Advent Internal Medicine
- Erin Maguire Alley
- Jessica Dawn Alley
All providers in Columbus, NC · Internal Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.