Alamance Academy, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ALAMANCE ACADEMY, LLC

Practice address

1522 Vaughn Rd
Burlington, NC 27217-2871

Phone

(336) 350-8169

NPI assigned

Mar 25, 2008

Last updated

May 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mollissie Laura Ann Peterson

Title

Director of Operation

Phone

(336) 437-4382

Specialties & licenses 6

Addresses

Tax ID family

Alamance Academy LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Alamance Academy, LLC

  • Community/Behavioral Health Agency
  • Burlington, NC
  • NPI 1093157240
  NPD tax ID
• The Alamance Academy

  • Community/Behavioral Health Agency
  • Burlington, NC
  • NPI 1376922062
  NPD tax ID

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1508038001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S CHURCH ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272153879",
            "telephone_number": "336-437-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 VAUGHN RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172871",
            "telephone_number": "336-350-8169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Rosenwald St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272172468",
            "country_code": "US",
            "telephone_number": "336-350-8169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 S Church St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272153879",
            "country_code": "US",
            "telephone_number": "336-350-8169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "723 N Fisher St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "27217",
            "country_code": "US",
            "telephone_number": "336-437-4382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALAMANCE ACADEMY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MOLLISSIE",
        "authorized_official_middle_name": "LAURA ANN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATION",
        "authorized_official_telephone_number": "336-437-4382",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kavita Agrawal
• Ji Young Ahn, OD
• Olubukola Ajetunmobi, NP
• Al-Aqsa Community Clinic
• Alamance Academy, LLC
• Alamance Burlington School Systme
• Alamance Cardiology, Internal Medicine, and Nuclear Medicine, P.a. (Callwood Cardiology Care, PA)
• Alamance Caswell Area MH DD Sa Area Authority
• Alamance Chiropractic Center, PC
• Alamance County Govt (Alamance County Health Department)

• Multi-Specialty Clinic/Center in Burlington, NC
• Providers in Burlington, NC by specialty
• Multi-Specialty Clinic/Center in North Carolina

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