Albermarle Surgical Clinic, P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ALBERMARLE SURGICAL CLINIC, P.A.

Practice address

311 Yadkin St
Albemarle, NC 28001-3441

Phone

(704) 982-0161

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Benjamin Allen, MD

Title

President

Phone

(704) 982-0161

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508803198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1398",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280021398",
            "telephone_number": "704-982-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 YADKIN ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013441",
            "telephone_number": "704-982-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERMARLE SURGICAL CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-982-0161",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901031",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "01031",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albemarle Medical Supplies LLC
• Albemarle Operating Al, LLC
• Albemarle Urology Clinic PA
• Albemarle Womens Clinic PA
• Albermarle Medical Supply
• Anita Lynn Alexander
• Alliance Medical, Inc.
• Alliance Medical, Inc.
• Anna Hope Allred-McGee, NCC, LPC BD ELIGIBLE
• Rebecca Lynne Brooks Allred, LPCA

• Surgery Physician in Albemarle, NC
• Providers in Albemarle, NC by specialty
• Surgery 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.