Organization Active NPI

Lincolnton Medical Group,PLLC

  • Family Medicine Physician
  • Lincolnton, NC
National Provider Identifier
1629003967
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9700469 Issued in NC
Legal business name
LINCOLNTON MEDICAL GROUP,PLLC
Practice address
1470 E Gaston St
Suite 300
Lincolnton, NC 28092-4431
Phone
(704) 735-7474
Fax
(704) 735-8788
NPI assigned
Jul 12, 2006
Last updated
Dec 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Authorized official

Name
Dr. Doanld F Bias Jr., M.D.
Title
Practice Owner
Phone
(704) 735-7474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 9700469 NC Primary

Addresses

Primary practice location

1470 E Gaston St
Suite 300
Lincolnton, NC 28092-4431

Mailing address

1470 E Gaston St
Suite 300
Lincolnton, NC 28092-4431
Phone (704) 735-7474

Other identifiers 5

IdentifierTypeStateIssuer
890176LMedicaidNC
116472OtherNCWELLPATH
CH4510OtherNCRAILROAD MEDICARE
1627444OtherNCCIGNA
0176LOtherNCBCBS

National Provider Directory

National Provider Directory

Locations

1470 E Gaston St
Ste 300
Lincolnton, NC 28092
Phone (704) 735-7474

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1629003967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 E GASTON ST",
            "address_2": "SUITE 300",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924431",
            "telephone_number": "704-735-7474",
            "fax_number": "704-735-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 E GASTON ST",
            "address_2": "SUITE 300",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924431",
            "telephone_number": "704-735-7474",
            "fax_number": "704-735-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLNTON MEDICAL GROUP,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "BIAS",
        "authorized_official_first_name": "DOANLD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "704-735-7474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9700469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890176L",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPATH",
            "identifier": "116472",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH4510",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1627444",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0176L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.