NPIMap

Organization Active NPI

Ourhealth Professional Physician Group, LLC

  • Physician Assistant
  • Burlington, NC
National Provider Identifier
1770116576
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
OURHEALTH PROFESSIONAL PHYSICIAN GROUP, LLC
Practice address
1737 Whites Kennel Rd
Burlington, NC 27215-8977
Phone
(336) 395-3216
NPI assigned
Feb 20, 2020
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
OURHEALTH PROFESSIONAL PHYSICIAN GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Central Support
Title
Central Support
Phone
(629) 266-1080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

1737 Whites Kennel Rd
Burlington, NC 27215-8977

Mailing address

10 W Market St Ste 2900
Indianapolis, IN 46204-2964

Other names 1

  • Sheetz Burlington Other name

National Provider Directory

National Provider Directory
Tax ID family
MH Medical Services PC10 organizations share this tax ID, including this one
Part of
MH Medical Services PC

Other organizations with this tax ID 9

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

Locations

1737 Whites Kennel Rd
Burlington, NC 27215
Phone (336) 395-3216

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1770116576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W MARKET ST STE 2900",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 WHITES KENNEL RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158977",
            "telephone_number": "336-395-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OURHEALTH PROFESSIONAL PHYSICIAN GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OURHEALTH PROFESSIONAL PHYSICIAN GROUP, LLC",
        "enumeration_date": "2020-02-20",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "SUPPORT",
        "authorized_official_first_name": "CENTRAL",
        "authorized_official_title_or_position": "CENTRAL SUPPORT",
        "authorized_official_telephone_number": "629-266-1080"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheetz Burlington",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.