Pine Ridge of Sanford Primary Care PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

1471498 Issued in NC

Legal business name

PINE RIDGE OF SANFORD PRIMARY CARE PLLC

Practice address

3072 South Horner Blvd
Sanford, NC 27331

Phone

(919) 542-4550

NPI assigned

Oct 9, 2015

Organization subpart

Yes

Parent organization

SANFORD SANDHILLS EMERGENCY PHYSICIAN, PCAs reported in NPPES

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

Authorized official

Name

Dr. Franklin Hargett, MD

Title

VP Operations

Phone

(919) 542-4450

Specialties & licenses 1

Addresses

Part of

Sanford Sandhills Em

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13585/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1639540180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1163",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273311163",
            "telephone_number": "919-542-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3072 SOUTH HORNER BLVD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "27331",
            "telephone_number": "919-542-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE RIDGE OF SANFORD PRIMARY CARE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANFORD SANDHILLS EMERGENCY PHYSICIAN, PC",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "HARGETT",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "919-542-4450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "1471498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lane Phillips, ATC
• Thomas Caldwell Phillips III, M.D.
• Piedmont Health Services, Inc. (Sanford Community Health Center)
• Rachel Elizabeth Piening, PA-C
• Amanda Pilkington, PHARMD
• Pine Ridge Urgent Care and Occupational Medicine Center PLLC
• Pinehurst Surgical Clinic PA
• Pinehurst Surgical Clinic PA
• Pinnacle Family Services of North Carolina LLC
• Murali Dhara Pisharody, MD

• Primary Care Clinic/Center in Sanford, NC
• Providers in Sanford, 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 Oct 9, 2015; 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.