West Primary Care, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9901355 Issued in NC

Legal business name

WEST PRIMARY CARE, INC

Practice address

102 Livermore Dr
Pembroke, NC 28372-7270

Phone

(910) 521-8484

Fax

(910) 521-9765

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Kirsten L Jacobs

Title

Office Manager

Phone

(910) 521-8484

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Danny L West, MD

  • Family Medicine Physician
  • Pembroke, NC
  • NPI 1639178106
  Medicare reassignment Care Compare group NPD
• Karen Rose Betz, PA

  • Physician Assistant
  • Pembroke, NC
  • NPI 1902363153
  Medicare reassignment Care Compare group
• Jodella Locklear, FNP-C

  • Family Nurse Practitioner
  • Pembroke, NC
  • NPI 1578565164
  NPD

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1720138571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 LIVERMORE DR",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727270",
            "telephone_number": "910-521-8484",
            "fax_number": "910-521-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 LIVERMORE DR",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727270",
            "telephone_number": "910-521-8484",
            "fax_number": "910-521-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PRIMARY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-521-8484"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9901355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89129YX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores, Inc (Vision Center 30-5489)
• Walgreen Co (Walgreens #16119)
• Waters Drug Company LLC (Waters Drug Company)
• Jordan Michele Webb, COTA/L
• Lauren Werner, ATC, LAT
• West Primary-Urgent Care, PLLC
• West Winds Assisted Living
• Danny L West, MD
• James Earl West, MD
• Elainia Snaza White, MSW

• Family Medicine Physician in Pembroke, NC
• Providers in Pembroke, 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 Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.