Organization Active NPI

Mid Carolina Primary Care, PA

  • Internal Medicine Physician
  • Sanford, NC
National Provider Identifier
1487618344
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9900041 Issued in NC
Legal business name
MID CAROLINA PRIMARY CARE, PA
Practice address
709C Wicker St
Sanford, NC 27330-4142
Phone
(919) 777-2704
Fax
(919) 777-2752
NPI assigned
Apr 16, 2006
Last updated
Jun 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Authorized official

Name
Dr. Kim A Finlay-Tozzi, D.O.NPI 1962487793
Title
Owner President of Company
Phone
(919) 777-2704

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
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 9900041 NC Primary

Addresses

Primary practice location

709C Wicker St
Sanford, NC 27330-4142

Mailing address

709C Wicker St
Sanford, NC 27330-4142
Phone (919) 777-2704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050512000521 NC Part B Supplier - Clinic/Group Practice 7012958713 Receives reassigned benefits from 2 practitioners
Practice locations: Sanford, NC

National Provider Directory

National Provider Directory

Locations

709 Wicker St
Ste C
Sanford, NC 27330
Phone (919) 777-2704

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": "1145145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1487618344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709C WICKER ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304142",
            "telephone_number": "919-777-2704",
            "fax_number": "919-777-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709C WICKER ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304142",
            "telephone_number": "919-777-2704",
            "fax_number": "919-777-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID CAROLINA PRIMARY CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-16",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "FINLAY-TOZZI",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PRESIDENT OF COMPANY",
        "authorized_official_telephone_number": "919-777-2704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9900041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.