NPIMap

Organization Active NPI

Laurel Creek Family Medicine, PLLC

  • Family Medicine Physician
  • Kernersville, NC
National Provider Identifier
1487867347
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LAUREL CREEK FAMILY MEDICINE, PLLC
Practice address
900 Old Winston Rd
Suite 222
Kernersville, NC 27284-8119
Phone
(336) 992-1234
Fax
(336) 993-9963
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Dr. Alison Townsend Snider, MDNPI 1265432983
Title
Owner
Phone
(336) 992-1234

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X NC Primary

Addresses

Primary practice location

900 Old Winston Rd
Suite 222
Kernersville, NC 27284-8119

Mailing address

900 Old Winston Rd
Suite 222
Kernersville, NC 27284-8119
Phone (336) 992-1234

National Provider Directory

National Provider Directory

Locations

900 Old Winston Rd
Ste 222
Kernersville, NC 27284
Phone (336) 992-1234

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1487867347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 OLD WINSTON RD",
            "address_2": "SUITE 222",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848119",
            "telephone_number": "336-992-1234",
            "fax_number": "336-993-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 OLD WINSTON RD",
            "address_2": "SUITE 222",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848119",
            "telephone_number": "336-992-1234",
            "fax_number": "336-993-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL CREEK FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "SNIDER",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "TOWNSEND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-992-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.