Organization Active NPI

Cary Family Healthcare, PA

  • Family Medicine Physician
  • Cary, NC
National Provider Identifier
1710029152
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CARY FAMILY HEALTHCARE, PA
Practice address
115 Crescent Commons Dr
Suite # 100
Cary, NC 27518-8102
Phone
(919) 467-5678
Fax
(919) 467-1948
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Authorized official

Name
Mrs. Tina Lynn Latham
Title
Office Manager
Phone
(919) 467-5678

Specialties & licenses 1

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

Addresses

Primary practice location

115 Crescent Commons Dr
Suite # 100
Cary, NC 27518-8102

Mailing address

115 Crescent Commons Dr
Suite # 100
Cary, NC 27518-8102
Phone (919) 467-5678

National Provider Directory

National Provider Directory

Locations

101 SW Cary Pkwy
Ste 170
Cary, NC 27511
Phone (919) 467-5678

Practitioners & affiliated clinicians

Practitioners 3

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1710029152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CRESCENT COMMONS DR",
            "address_2": "SUITE # 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188102",
            "telephone_number": "919-467-5678",
            "fax_number": "919-467-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CRESCENT COMMONS DR",
            "address_2": "SUITE # 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188102",
            "telephone_number": "919-467-5678",
            "fax_number": "919-467-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARY FAMILY HEALTHCARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "LATHAM",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-467-5678",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.