Organization Active NPI

Adma Primary Care PC

  • Internal Medicine Physician
  • Apex, NC
National Provider Identifier
1639381973
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9901025 Issued in NC
Legal business name
ADMA PRIMARY CARE PC
Practice address
1001 Pemberton Hill Rd Ste 102
Apex, NC 27502-4265
Phone
(919) 362-1836
NPI assigned
May 6, 2007
Last updated
Oct 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Authorized official

Name
Dr. Shobana Senthilnathan, M.D.
Title
President
Phone
(919) 362-1836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 9901025 NC Primary

Addresses

Primary practice location

1001 Pemberton Hill Rd Ste 102
Apex, NC 27502-4265

Mailing address

1001 Pemberton Hill Rd Ste 102
Apex, NC 27502-4265
Phone (919) 362-1836

Other identifiers 1

IdentifierTypeStateIssuer
891208QMedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1639381973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PEMBERTON HILL RD STE 102",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024265",
            "telephone_number": "919-362-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PEMBERTON HILL RD STE 102",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024265",
            "telephone_number": "919-362-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADMA PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-06",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "SENTHILNATHAN",
        "authorized_official_first_name": "SHOBANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-362-1836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9901025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891208Q",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

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