Organization Active NPI

County of Randolph

Doing business as Randolph County Health Department

  • State or Local Public Health Clinic/Center
  • Asheboro, NC
National Provider Identifier
1720011729
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
COUNTY OF RANDOLPH
Doing business as
Randolph County Health Department
Practice address
2222 S Fayetteville St Ste B
Asheboro, NC 27205-7368
Phone
(336) 318-6200
Fax
(336) 318-6234
NPI assigned
Jul 10, 2006
Last updated
Jan 18, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
RANDOLPH COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Authorized official

Name
Tara Geer Aker
Title
Health Director
Phone
(336) 318-6217

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community Health Clinic/Center 261QC1500X
Dental Clinic/Center 261QD0000X
Non-Surgical Family Planning Clinic/Center 261QF0050X
Medical Specialty Clinic/Center 261QM2500X
State or Local Public Health Clinic/Center 261QP0905X Primary
Primary Care Clinic/Center 261QP2300X
Clinical Medical Laboratory 291U00000X
Clinic Pharmacy 3336C0002X

Addresses

Primary practice location

2222 S Fayetteville St Ste B
Asheboro, NC 27205-7368

Mailing address

2222 S Fayetteville St Ste B
Asheboro, NC 27205-7368
Phone (336) 318-6154

Other identifiers 5

IdentifierTypeStateIssuer
3404376MedicaidNC
0725AOtherNCBLUE CROSS NUMBER
34D0655049OtherNCCLIA PROVIDER ID NUMBER
04467OtherNCNORTH CAROLINA PHARMACY #
3404497MedicaidNC

Other names 1

  • Randolph County Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230503003462 NC Part B Supplier - Clinic/Group Practice 0345413225 Receives reassigned benefits from 4 practitioners
Practice locations: Asheboro, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Randolph Co HLTH Dept7 organizations share this tax ID, including this one
Part of
Randolph Co HLTH Dept

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

152 N Fayetteville St
Asheboro, NC 27203
Phone (336) 318-6911

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1720011729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S FAYETTEVILLE ST STE B",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272057368",
            "telephone_number": "336-318-6154",
            "fax_number": "336-636-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S FAYETTEVILLE ST STE B",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272057368",
            "telephone_number": "336-318-6200",
            "fax_number": "336-318-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF RANDOLPH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RANDOLPH COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "AKER",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "GEER",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "336-318-6217"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404376",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "0725A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA PROVIDER ID NUMBER",
            "identifier": "34D0655049",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA PHARMACY #",
            "identifier": "04467",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404497",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randolph County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.