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Mainstreet and Kidsstreet of North Carolina PLLC

Organization Active NPI Rural Health Clinic/Center · Oxford, NC

NPI 1750177507 · NPPES record last updated Mar 20, 2026

Key facts

NPI
1750177507
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
MAINSTREET AND KIDSSTREET OF NORTH CAROLINA PLLC
Practice address
735 Lewis St
Oxford, NC 27565-3569
Phone
(919) 939-2109
NPI assigned
Apr 17, 2025
Organization subpart
No

Authorized official

Name
Krista Rock
Title
VP
Phone
(205) 545-5090

Owners & managing parties with NPI records 22

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs with the same Medicare PAC ID 8

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

Corporate family (same tax ID) 34

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

View all 34

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 77

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

View all 77

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Rural health clinic certification: CCN 343814

Legal name
MAINSTREET AND KIDSSTREET OF NORTH CAROLINA PLLC
Doing business as
MAINSTREET FAMILY CARE - OXFORD
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 10, 2026
Last certification
Apr 10, 2026
Ownership / control type
1B
Organization structure
LLC · Proprietary
Enrollment address
735 Lewis St
Oxford, NC 27565-3569

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Timothy Pattison Taylor
Individual 		5% Or Greater Direct Ownership Interest Sep 1, 2015 100%
Corporate Officer Sep 4, 2025
Corporate Director Sep 4, 2025
W-2 Managing Employee
MD;		 Sep 4, 2025
Rural Urgent Care LLC
Organization · Birmingham, AL
LLC 		Operational/Managerial Control Apr 15, 2021 100%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20251110001282 NC Part a Provider - Rural Health Clinic 6901290238 Practice locations: Oxford, NC

National Provider Directory

Tax ID family
Mainstreet and Kidsstreet of North Carolina PLLC (35 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

735 Lewis St
Oxford, NC 27565-3569

Mailing address

1500 1St Ave N Unit 3
Birmingham, AL 35203-1866
Phone (205) 545-5085

Other names

  • MainStreet Family Care Doing business as

Other providers in Oxford, NC

All providers in Oxford, NC · Rural Health Clinic/Center in North Carolina

Sources for this page

Verify at the official NPI Registry.