Northstar Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTHSTAR MEDICAL GROUP

Practice address

7779 NC Highway 68 N Ste 2a
Stokesdale, NC 27357-9496

Phone

(336) 298-7557

Fax

(336) 298-7551

NPI assigned

Nov 3, 2021

Organization subpart

No

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

Authorized official

Name

Ralph Carter Bobbitt Jr., MDNPI 1134123888

Title

Co-Owner

Phone

(336) 298-7557

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25009/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Ralph Carter Bobbitt Jr., M.D.

  • Allergy & Immunology Physician
  • Fayetteville, NC
  • NPI 1134123888
  Medicare reassignment NPD Authorized official
• Benjamin Lowell Mann, PA

  • Physician Assistant
  • Martinsville, VA
  • NPI 1952595373

  NC

  Medicare reassignment

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1801551965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7779 NC HIGHWAY 68 N STE 2A",
            "city": "STOKESDALE",
            "state": "NC",
            "postal_code": "273579496",
            "telephone_number": "336-298-7557",
            "fax_number": "336-298-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7779 NC HIGHWAY 68 N STE 2A",
            "city": "STOKESDALE",
            "state": "NC",
            "postal_code": "273579496",
            "telephone_number": "336-298-7557",
            "fax_number": "336-298-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "BOBBITT",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "CARTER",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "336-298-7557",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Anderson Michaels, PA-C
• Margaret Annette Millner, RN
• Terri Moore
• Paul Kyler Morris, D.D.S.
• Trumilla Futch Morris, D.D.S.
• Nubia Xochipili Ortiz
• Megan Parr
• Paul Kyler Morris, DDS, PA
• Safe Pasag Transport LLC
• Jennah Kaileen Steelman, FNP-BC

• Family Medicine Physician in Stokesdale, NC
• Providers in Stokesdale, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.