Revolution Family Medicine, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

REVOLUTION FAMILY MEDICINE, PLLC

Practice address

56 N Broad St E
Angier, NC 27501-8964

Phone

(209) 265-8805

NPI assigned

Mar 8, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jessica M Sloan, MD

Title

Owner/Physician

Phone

(209) 265-8805

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1740875095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2778",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275462778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 N BROAD ST E",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275018964",
            "telephone_number": "209-265-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "209-265-8805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://revolutionfamilymedicine.atlas.md/",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "56 N Broad St E",
            "city": "Angier",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275018964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chanel Afia Prince, DDS
• Q1 Clinical Consultants, LLC
• Ranjani Ramakrishnan, OTR/L
• Diane Rasey
• Amber Renn, PA-C
• Rha Health Services NC, LLC
• Rha Health Services NC, LLC
• Shelby Rhyne
• Laura T Rich, LCMHC-A
• RT Transportation Inc.

• Clinic/Center in Angier, NC
• Providers in Angier, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.