Angier Medical Services, LLC
Organization Active NPI Family Medicine Physician · Angier, NC
NPI 1760717151 · NPPES record last updated Oct 12, 2024
Key facts
- NPI
- 1760717151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ANGIER MEDICAL SERVICES, LLC
- Practice address
- 1535 N Raleigh St
Angier, NC 27501-8920 - Phone
- (919) 331-2477
- Fax
- (919) 331-2481
- NPI assigned
- Oct 2, 2009
- Organization subpart
- No
Authorized official
- Name
- Joseph Fiser
- Title
- VP Corp Rev Cycle/Managed Care
- Phone
- (910) 615-5572
Member of 1
Practitioners 6
-
Brad Everette Butler, M.D.
-
Allison Alexander, PA-C
-
Erica Joy Bateman, PA-C
-
Amber Renn, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091116000604 | NC | Part B Supplier - Clinic/Group Practice | 8527106319 |
Receives reassigned benefits from 6 practitioners Practice locations: Angier, NC |
National Provider Directory
Locations
185 Rawls Rd
Angier, NC 27501
Phone (910) 892-1107
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1535 N Raleigh St
Angier, NC 27501-8920
Mailing address
PO Box 1706
Dunn, NC 28335-1706
Other practice location 1
185 Rawls Rd
Angier, NC 27501-8539
Phone (919) 331-2477
Other names
- Cape Fear Valley Primary Care - Angier
Other providers in Angier, NC
- Angier Dental
- Angier Discount Drug Inc
- Angier Discount Drug of NC LLC
- Angier Family Pharmacy, LLC
- Angier Family Pharmacy, LLC
- Caroline Jean Ashley
- Augusta Ashworth
- B.Brenda Gong, DDS.,PA
- Makenzie Bachman
- Laura F Baker
All providers in Angier, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.