Organization Active NPI

Cary Primary Care

  • Family Medicine Physician
  • Cary, NC
National Provider Identifier
1508133307
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2011-01595 Issued in NC
Legal business name
CARY PRIMARY CARE
Practice address
1151 SE Cary Pkwy
Suite 103
Cary, NC 27518-7418
Phone
(954) 873-0188
NPI assigned
Nov 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Shane Hemphill
Title
Owner
Phone
(954) 873-0188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 2011-01595 NC Primary

Addresses

Primary practice location

1151 SE Cary Pkwy
Suite 103
Cary, NC 27518-7418

Mailing address

1151 SE Cary Pkwy
Suite 103
Cary, NC 27518-7418

National Provider Directory

National Provider Directory

Locations

1151 SE Cary Pkwy
Ste 103
Cary, NC 27518
Phone (919) 851-3292

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1508133307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 SE CARY PKWY",
            "address_2": "SUITE 103",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 SE CARY PKWY",
            "address_2": "SUITE 103",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187418",
            "telephone_number": "954-873-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARY PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "HEMPHILL",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-873-0188"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2011-01595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.