Primary & Immediate Care of the Pines, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIMARY & IMMEDIATE CARE OF THE PINES, LLC

Practice address

211 Bonnie Brook Rd
Aberdeen, NC 28315

Phone

(910) 716-0099

Fax

(910) 405-1359

NPI assigned

Jan 29, 2018

Last updated

May 5, 2022By 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

Bertha Taylor-MillerNPI 1285690222

Title

NP

Phone

(910) 716-0099

Specialties & licenses 1

Addresses

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.

• Bertha Taylor-Miller, FNP

  • Family Nurse Practitioner
  • Aberdeen, NC
  • NPI 1285690222
  Authorized official Same address or phone

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1699273219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BONNIE BROOK RD",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283153125",
            "telephone_number": "910-716-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BONNIE BROOK RD",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "28315",
            "telephone_number": "910-716-0099",
            "fax_number": "910-405-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY & IMMEDIATE CARE OF THE PINES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "TAYLOR-MILLER",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "910-716-0099"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Aberdeen, NC
• Providers in Aberdeen, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.