Organization Active NPI

Raeford Family Care Center PC

  • Family Medicine Physician
  • Raeford, NC
National Provider Identifier
1689637225
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2005-01721 Issued in NC
Legal business name
RAEFORD FAMILY CARE CENTER PC
Practice address
1090 E Central Ave
Raeford, NC 28376-3039
Phone
(910) 875-4545
Fax
(910) 875-8972
NPI assigned
Apr 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Authorized official

Name
Mrs. Vickie L Farmer, PAC
Title
Owner
Phone
(910) 875-4545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 2005-01721 NC Primary

Addresses

Primary practice location

1090 E Central Ave
Raeford, NC 28376-3039

Mailing address

PO Box 1041
Lumberton, NC 28359-1041
Phone (910) 738-5850

Other identifiers 2

IdentifierTypeStateIssuer
89014TXMedicaidNC
014TXOtherNCNC BCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1689637225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1041",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283591041",
            "telephone_number": "910-738-5850",
            "fax_number": "910-738-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 E CENTRAL AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763039",
            "telephone_number": "910-875-4545",
            "fax_number": "910-875-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAEFORD FAMILY CARE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-875-4545",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PAC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2005-01721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89014TX",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BCBS",
            "identifier": "014TX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.