Organization Active NPI

Thomasville Family Practice Associates, P.a.

  • Family Medicine Physician
  • Thomasville, NC
National Provider Identifier
1568413276
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THOMASVILLE FAMILY PRACTICE ASSOCIATES, P.A.
Practice address
201 W Holly Hill Rd
Thomasville, NC 27360-5738
Phone
(336) 475-9164
Fax
(336) 475-6619
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Robert C Dellinger Jr., M.D.
Title
Secretary
Phone
(336) 475-9164

Specialties & licenses 1

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

Addresses

Primary practice location

201 W Holly Hill Rd
Thomasville, NC 27360-5738

Mailing address

201 W Holly Hill Rd
Thomasville, NC 27360-5738
Phone (336) 475-9164

Other identifiers 2

IdentifierTypeStateIssuer
0230AOtherNCBLUE CROSS ID
890230AMedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1568413276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W HOLLY HILL RD",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273605738",
            "telephone_number": "336-475-9164",
            "fax_number": "336-475-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W HOLLY HILL RD",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273605738",
            "telephone_number": "336-475-9164",
            "fax_number": "336-475-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMASVILLE FAMILY PRACTICE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "DELLINGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "336-475-9164",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID",
            "identifier": "0230A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890230A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.