Organization Active NPI

CMC Geriatric Services

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Clinton, NC
National Provider Identifier
1770138984
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
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, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CLINTON MEDICAL CLINIC, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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.

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

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.

Verify at the official NPI Registry.