Active NPI
CMC Geriatric Services
- Hospice and Palliative Medicine (Family Medicine) Physician
- Clinton, NC
National Provider Identifier
1770138984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- Legal business name
- CMC GERIATRIC SERVICES
- Practice address
- 403 Fairview St
Clinton, NC 28328-2399 - Phone
- (910) 592-6011
- Fax
- (910) 592-8011
- NPI assigned
- Aug 5, 2019
- Last updated
- Nov 27, 2023
- Organization subpart
- Yes
- Parent organization
- CLINTON MEDICAL CLINIC, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matthew Quay Robinson
- Title
- Practice Administrator
- Phone
- (910) 590-0619
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | Primary |
Addresses
Primary practice location
403 Fairview St
Clinton, NC 28328-2399
Mailing address
403 Fairview St
Clinton, NC 28328-2399
Phone (910) 592-6011
Other practice location 1
180 Southwood Dr
Clinton, NC 28328-5002
Phone (910) 592-6011
Other practice location 2
120 Southwood Dr
Clinton, NC 28328-5002
Phone (910) 592-6011
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clintonmedicalclinic@cmci.allscriptsdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191113002988 | NC | Part B Supplier - Clinic/Group Practice | 7517399561 | Practice locations: Clinton, NC |
National Provider Directory
National Provider Directory- Part of
- Clinton Medical Clinic Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Clinton Medical Clinic
- General Practice Physician
- Clinton, NC
- NPI 1780629154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1770138984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 FAIRVIEW ST",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282399",
"telephone_number": "910-592-6011",
"fax_number": "910-592-8011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 FAIRVIEW ST",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282399",
"telephone_number": "910-592-6011",
"fax_number": "910-592-8011"
}
],
"practiceLocations": [
{
"address_1": "180 Southwood Dr",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "NC",
"postal_code": "283285002",
"country_code": "US",
"telephone_number": "910-592-6011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 Southwood Dr",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "NC",
"postal_code": "283285002",
"country_code": "US",
"telephone_number": "910-592-6011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CMC GERIATRIC SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CLINTON MEDICAL CLINIC, INC.",
"enumeration_date": "2019-08-05",
"last_updated": "2023-11-27",
"certification_date": "2021-10-19",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "QUAY",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "910-590-0619",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clintonmedicalclinic@cmci.allscriptsdirect.net",
"affiliation": "Y",
"endpointDescription": "Main DM Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Other",
"address_1": "403 Fairview St",
"city": "Clinton",
"state": "NC",
"country_code": "US",
"postal_code": "283282399",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clinton, NC
- Clinton Surgical Associates PLLC
- Clinton Surgical PLLC (Clinton Surgical Associates PLLC)
- Clinton Urgent Care LLC
- Clinton X-Ray Associates, PA
- Heather Michelle Clougherty, ATC
- Alexis Marie Coleman
- Community Home Care of Robeson County, LLC (Community Home Care and Hospice)
- Compassionate Hands & Hearts Home Care
- Connolly Counseling, Inc.
- Ada M. Conway, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.