Rebecca L Summerlin MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REBECCA L SUMMERLIN MD PA

Practice address

120 Causeway Dr SW
Ste 3
Ocean Isle Beach, NC 28469-7503

Phone

(910) 575-5242

Fax

(910) 575-5245

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Janet S White

Title

Sect/Tres

Phone

(910) 575-5242

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Rebecca Clare Lee, M.D.

  • Family Medicine Physician
  • Bolivia, NC
  • NPI 1275512279
  NPD
• John Sardella, PA-C

  • Medical Physician Assistant
  • Southport, NC
  • NPI 1356433171
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497709182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2500",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284592500",
            "telephone_number": "910-575-5242",
            "fax_number": "910-575-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CAUSEWAY DR SW",
            "address_2": "STE 3",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "284697503",
            "telephone_number": "910-575-5242",
            "fax_number": "910-575-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA L SUMMERLIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SECT/TRES",
        "authorized_official_telephone_number": "910-575-5242"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela J Owens, D.C.
• Oxygen Mental Health and Wellness Services, PLLC
• Pamela J Owens DCPC
• Presbyterian Regional Healthcare Corp
• Raleigh Jackson Putnam Jr., REG PHARMACIST
• Remedy, Inc
• Raven Nichole Robles
• Sam'S Drug Store of Robeson Co, LLC
• Corey Shelton
• Dwayne Smith, OTR/L

• Family Medicine Physician in Ocean Isle Beach, NC
• Providers in Ocean Isle Beach, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.