Famhealth Primary Care , PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

C2016204005421 Issued in NC

Legal business name

FAMHEALTH PRIMARY CARE , PA

Practice address

5720 Creedmoor Rd
Raleigh, NC 27612-2256

Phone

(919) 782-0430

NPI assigned

Aug 6, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Enid Matos Tallmer, PA-C

Title

President

Phone

(919) 697-5388

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Linda Fabiola Hughes, PA-C

  • Medical Physician Assistant
  • Dunn, NC
  • NPI 1740838077
  NPD

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

{
    "created_epoch": "1470441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470441600000",
    "number": "1568916617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 CREEDMOOR RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122256",
            "telephone_number": "919-782-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 CREEDMOOR RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122256",
            "telephone_number": "919-782-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMHEALTH PRIMARY CARE , PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-06",
        "last_updated": "2016-08-06",
        "status": "A",
        "authorized_official_last_name": "TALLMER",
        "authorized_official_first_name": "ENID",
        "authorized_official_middle_name": "MATOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-697-5388",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "C2016204005421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Falls River Pharmacy LLC
• Falls River Pharmacy, LLC
• Falls River Village Assisted Living, LLC (Falls River Village)
• Erin Falls, MS, RD, LDN
• Joseph Michael Falsone, M.D.
• Family Based Strategies
• Family Based Strategies
• Family Based Strategies, Inc
• Family Based Strategies, Inc
• Family First Personal Care

• Primary Care Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2016; 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.