Organization Active NPI

Thomasville OB-GYN Associates, PA

  • Obstetrics & Gynecology Physician
  • Thomasville, NC
National Provider Identifier
1629048871
Registry record updated Aug 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
39470 Issued in NC
Legal business name
THOMASVILLE OB-GYN ASSOCIATES, PA
Practice address
1302 Lexington Ave
Thomasville, NC 27360-3419
Phone
(336) 475-6139
Fax
(336) 475-3331
NPI assigned
Jan 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2017

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

Authorized official

Name
Dr. Phillip Kevin Dorton X, M.D.
Title
President
Phone
(336) 475-6139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 39470 NC Primary

Addresses

Primary practice location

1302 Lexington Ave
Thomasville, NC 27360-3419

Mailing address

1302 Lexington Ave
Thomasville, NC 27360-3419
Phone (336) 475-6139

Other identifiers 1

IdentifierTypeStateIssuer
8902827MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502668800000",
    "number": "1629048871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 LEXINGTON AVE",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273603419",
            "telephone_number": "336-475-6139",
            "fax_number": "336-475-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 LEXINGTON AVE",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273603419",
            "telephone_number": "336-475-6139",
            "fax_number": "336-475-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMASVILLE OB-GYN ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2017-08-14",
        "status": "A",
        "authorized_official_last_name": "DORTON",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-475-6139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "X",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "39470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902827",
            "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 Aug 14, 2017; 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.