NPIMap

Organization Active NPI

Tri County Family Medicine

  • Legal Medicine
  • Ronda, NC
National Provider Identifier
1801853585
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
23065 Issued in NC
Legal business name
TRI COUNTY FAMILY MEDICINE
Practice address
3369 Clingman Road
Ronda, NC 28670
Phone
(336) 835-5688
Fax
(336) 835-6521
NPI assigned
Apr 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas F Mendolia, D.O.NPI 1194782748
Title
Owner
Phone
(336) 835-5688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 23065 NC Primary

Addresses

Primary practice location

3369 Clingman Road
Ronda, NC 28670

Mailing address

201 West Main Street
Elkin, NC 28621
Phone (336) 835-5688

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801853585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WEST MAIN STREET",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "28621",
            "telephone_number": "336-835-5688",
            "fax_number": "336-835-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3369 CLINGMAN ROAD",
            "city": "RONDA",
            "state": "NC",
            "postal_code": "28670",
            "telephone_number": "336-835-5688",
            "fax_number": "336-835-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MENDOLIA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-835-5688",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NC",
            "license": "23065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronda, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.