Columbus Regional Physicians Network

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200200060 Issued in NC

Legal business name

COLUMBUS REGIONAL PHYSICIANS NETWORK

Doing business as

South Columbus Medical Center

Practice address

14508 James B White Hwy S
Tabor City, NC 28463-8358

Phone

(910) 653-7000

NPI assigned

Apr 29, 2010

Last updated

May 26, 2010By 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

Henry Hawthorne

Title

President

Phone

(910) 641-3677

Specialties & licenses 1

Addresses

Other names 1

• South Columbus Medical Center Doing business as

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1508183633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 JEFFERSON STREET",
            "address_2": "ATTN: DEBRA SNIDER, DIRECTOR PHYSICIAN NETWORK",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723634",
            "telephone_number": "910-641-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14508 JAMES B WHITE HWY S",
            "city": "TABOR CITY",
            "state": "NC",
            "postal_code": "284638358",
            "telephone_number": "910-653-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS REGIONAL PHYSICIANS NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "HAWTHORNE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-641-3677"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200200060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Columbus Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin B Bullard, MPT
• Carolinas Medical Response, Inc.
• Circyoulation NC, LLC
• Thomas E Coe, PAC
• Columbus Regional Health Network (South Columbus Medical Center)
• Dameron Drug Store Inc (Dameron Discount Drugs Health Mart)
• Dameron Drug Store, Inc
• Dameron Drug Store, Inc
• Morgan Elizabeth Dameron, PHARMD
• Bruce Anthony Dick Jr., FNP

• Family Medicine Physician in Tabor City, NC
• Providers in Tabor City, 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 May 26, 2010; 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.