NPIMap

Organization Active NPI

DLP Maria Parham Physician Practices, LLC

Doing business as Maria Parham Pain Solutions

  • Physical Medicine & Rehabilitation Physician
  • Henderson, NC
National Provider Identifier
1730466475
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
DLP MARIA PARHAM PHYSICIAN PRACTICES, LLC
Doing business as
Maria Parham Pain Solutions
Maria Parham Physical Medicine
Practice address
568 Ruin Creek Rd
Suite 006
Henderson, NC 27536-2880
Phone
(252) 436-1051
Fax
(252) 430-8980
NPI assigned
Nov 9, 2011
Last updated
Apr 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Authorized official

Name
Kathy Teague
Title
Avp, Secretary
Phone
(615) 920-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X

Addresses

Primary practice location

568 Ruin Creek Rd
Suite 006
Henderson, NC 27536-2880

Mailing address

120 Charles Rollins Rd
Suite 206
Henderson, NC 27536-2882
Phone (252) 436-1051

Other practice location 1

120 Charles Rollins Rd Ste 206
Henderson, NC 27536-2882
Phone (252) 436-1380

Other names 2

  • Maria Parham Pain Solutions Doing business as
  • Maria Parham Physical Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111222000550 NC Part B Supplier - Clinic/Group Practice 7719153683 Receives reassigned benefits from 181 practitioners
19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Henderson, NC; Louisburg, NC; Oxford, NC; Wake Forest, NC

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

National Provider Directory

National Provider Directory
Tax ID family
DLP Maria Parham Physician Practices LLC19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

120 Charles Rollins Rd
Ste 120
Henderson, NC 27536

556 Ruin CRK Rd
Henderson, NC 27536

566 Ruin Creek Rd
Ste 106
Henderson, NC 27536

568 Ruin Creek Rd
Ste 128
Henderson, NC 27536
Phone (252) 436-1085

1501 N Bickett Blvd
Ste B
Louisburg, NC 27549
Phone (919) 340-0000

Practitioners & affiliated clinicians

Practitioners 54

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.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1730466475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CHARLES ROLLINS RD",
            "address_2": "SUITE 206",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362882",
            "telephone_number": "252-436-1051",
            "fax_number": "252-430-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 RUIN CREEK RD",
            "address_2": "SUITE 006",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362880",
            "telephone_number": "252-436-1051",
            "fax_number": "252-430-8980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Charles Rollins Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NC",
            "postal_code": "275362882",
            "country_code": "US",
            "telephone_number": "252-436-1380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DLP MARIA PARHAM PHYSICIAN PRACTICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "AVP, SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maria Parham Pain Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maria Parham Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.