NPIMap

Organization Active NPI

Seaside Family Medicine P.a.

  • Primary Care Clinic/Center
  • Sunset Beach, NC
National Provider Identifier
1740434604
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
152200 Issued in NC
Legal business name
SEASIDE FAMILY MEDICINE P.A.
Practice address
710 Sunset Blvd N
Suite a
Sunset Beach, NC 28468-4345
Phone
(910) 575-3923
Fax
(910) 575-3926
NPI assigned
Nov 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Mr. Adam D Thompson, PA-CNPI 1447465950
Title
Vice President
Phone
(910) 575-3923

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 152200 NC Primary

Addresses

Primary practice location

710 Sunset Blvd N
Suite a
Sunset Beach, NC 28468-4345

Mailing address

710 Sunset Blvd N
Suite a
Sunset Beach, NC 28468-4345
Phone (910) 575-3923

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1740434604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 SUNSET BLVD N",
            "address_2": "SUITE A",
            "city": "SUNSET BEACH",
            "state": "NC",
            "postal_code": "284684345",
            "telephone_number": "910-575-3923",
            "fax_number": "910-575-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SUNSET BLVD N",
            "address_2": "SUITE A",
            "city": "SUNSET BEACH",
            "state": "NC",
            "postal_code": "284684345",
            "telephone_number": "910-575-3923",
            "fax_number": "910-575-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE FAMILY MEDICINE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "910-575-3923",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "152200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunset Beach, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.