Organization Active NPI

National Institute of Toxicology, PLLC

  • General Practice Physician
  • Mount Airy, NC
National Provider Identifier
1558766501
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
36016 Issued in NC
Legal business name
NATIONAL INSTITUTE OF TOXICOLOGY, PLLC
Practice address
956 N Main St
Mount Airy, NC 27030-3747
Phone
(336) 648-8550
Fax
(336) 648-8551
NPI assigned
Nov 1, 2014
Last updated
Jun 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Erica Lindsey Cox
Title
Office Administrator
Phone
(336) 648-8550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 36016 NC
General Practice Physician 208D00000X 36016 NC Primary

Addresses

Primary practice location

956 N Main St
Mount Airy, NC 27030-3747

Mailing address

956 N Main St
Mount Airy, NC 27030-3747
Phone (336) 648-8550

Other identifiers 5

IdentifierTypeStateIssuer
34D2085270OtherNCCLIA
205233OtherNCNORTH CAROLINA MEDICAL BOARD
70121OtherNCBLUE CROSS BLUE SHIELD
01953MedicaidNC
34D22080208OtherNCCLIA CERTIFICATE

National Provider Directory

National Provider Directory

Locations

651 S Main St
Dobson, NC 27017
Phone (336) 386-4477

956 N Main St
Mount Airy, NC 27030
Phone (336) 468-7293

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1414800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1558766501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 N MAIN ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270303747",
            "telephone_number": "336-648-8550",
            "fax_number": "336-648-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 N MAIN ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270303747",
            "telephone_number": "336-648-8550",
            "fax_number": "336-648-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL INSTITUTE OF TOXICOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-01",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "LINDSEY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "336-648-8550"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "36016",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "36016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "34D2085270",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICAL BOARD",
            "identifier": "205233",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70121",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01953",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATE",
            "identifier": "34D22080208",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.