Organization Active NPI

Sanford Sandhills Emergency Physicians, P.C.

  • Family Medicine Physician
  • Sanford, NC
National Provider Identifier
1508894239
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SANFORD SANDHILLS EMERGENCY PHYSICIANS, P.C.
Practice address
3072 S Horner Blvd
Sanford, NC 27332-9644
Phone
(919) 775-3020
Fax
(919) 775-3024
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Authorized official

Name
Dr. Ronald Jones Powell, M.D.NPI 1487685616
Title
President
Phone
(919) 942-2707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

3072 S Horner Blvd
Sanford, NC 27332-9644

Mailing address

PO Box 1163
Sanford, NC 27331-1163
Phone (919) 775-3020

Other practice location 1

628 East St Ste B
Pittsboro, NC 27312-9474
Phone (919) 542-4450

Other identifiers 2

IdentifierTypeStateIssuer
012EMOtherNCBLUE SHIELD
89012EMMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040216000966 NC Part B Supplier - Clinic/Group Practice 0244125672 Receives reassigned benefits from 2 practitioners
Practice locations: Pittsboro, NC; Sanford, NC

National Provider Directory

National Provider Directory

Locations

628B East St
Pittsboro, NC 27312
Phone (919) 542-4550

3072 S Horner Blvd
Ste A
Sanford, NC 27332

3072 S Horner Blvd
Sanford, NC 27332
Phone (919) 775-3020

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1508894239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1163",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273311163",
            "telephone_number": "919-775-3020",
            "fax_number": "919-775-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3072 S HORNER BLVD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273329644",
            "telephone_number": "919-775-3020",
            "fax_number": "919-775-3024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "628 East St Ste B",
            "address_purpose": "LOCATION",
            "city": "Pittsboro",
            "state": "NC",
            "postal_code": "273129474",
            "country_code": "US",
            "telephone_number": "919-542-4450",
            "fax_number": "919-542-0399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANFORD SANDHILLS EMERGENCY PHYSICIANS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-942-2707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "012EM",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012EM",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.