Sunesis Comprehensive Care, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

5000713 Issued in NC

Legal business name

SUNESIS COMPREHENSIVE CARE, PLLC

Doing business as

Primary Care of St. Pauls

Practice address

122 E Blue St
Saint Pauls, NC 28384-1812

Phone

(910) 865-5177

Fax

(910) 865-9400

NPI assigned

Mar 10, 2015

Organization subpart

No

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

Authorized official

Name

Miss Laticia Ann Tharrington, NP

Title

Owner

Phone

(910) 865-5177

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Primary Care of St. Pauls Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohamed B.S. Osman, M.D.

  • Family Medicine Physician
  • Saint Pauls, NC
  • NPI 1366436024
  NPD (past)

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1649663030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E BLUE ST",
            "city": "SAINT PAULS",
            "state": "NC",
            "postal_code": "283841812",
            "telephone_number": "910-865-5177",
            "fax_number": "910-865-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E BLUE ST",
            "city": "SAINT PAULS",
            "state": "NC",
            "postal_code": "283841812",
            "telephone_number": "910-865-5177",
            "fax_number": "910-865-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNESIS COMPREHENSIVE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "THARRINGTON",
        "authorized_official_first_name": "LATICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-865-5177",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "5000713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184694960",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "2592580",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004391",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care of St. Pauls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southeastern Regional Medical Center (St Pauls Medical Clinic)
• Southeastern Regional Physician Services (St. Pauls Medical Clinic)
• Southeastern Regional Physician Services (The Clinic at Brisson Drug)
• Southeastern Regional Physician Services (St. Pauls Medical Clinic)
• Spring Village Rest Home Inc
• Rachel Sutton, LCSWA
• Tarheel Diabetic and Medical Supply, Inc
• Three Rivers Medical Center
• Town of St. Pauls (St Pauls Volunteer EMS)
• Transportation With Mo Inc (Your Reliable Designated Driver)

• Primary Care Clinic/Center in Saint Pauls, NC
• Providers in Saint Pauls, 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 Aug 27, 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.