Our Town Primary Care, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

OUR TOWN PRIMARY CARE, PLLC

Doing business as

Our Town Primary Care, PLLC

Practice address

463 Second St
Ayden, NC 28513-7179

Phone

(252) 714-8224

NPI assigned

Jul 7, 2023

Last updated

Sep 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandy Jones Galloway, NPNPI 1588225387

Title

Owner

Phone

(252) 714-8224

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Our Town Primary Care, PLLC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandy Galloway, FNP-C

  • Nurse Practitioner
  • Ayden, NC
  • NPI 1588225387

  Family

  NPD Authorized official

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1639857923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133",
            "city": "AYDEN",
            "state": "NC",
            "postal_code": "285130133",
            "telephone_number": "252-714-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 SECOND ST",
            "city": "AYDEN",
            "state": "NC",
            "postal_code": "285137179",
            "telephone_number": "252-714-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR TOWN PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "GALLOWAY",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-714-8224",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1043294382",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Our Town Primary Care, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Our Town Primary Care, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Ayden, NC
• Providers in Ayden, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.