NPIMap

Organization Active NPI

Robeson Family Practice Associates, P.a.

  • Family Medicine Physician
  • Red Springs, NC
National Provider Identifier
1801922901
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROBESON FAMILY PRACTICE ASSOCIATES, P.A.
Practice address
1002C E 4TH Ave
Red Springs, NC 28377-1642
Phone
(910) 843-3311
Fax
(910) 843-3599
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Authorized official

Name
Jonathan Chavis
Title
Practice Manager
Phone
(910) 843-3311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1002C E 4TH Ave
Red Springs, NC 28377-1642

Mailing address

1002C E 4TH Ave
Red Springs, NC 28377-1642
Phone (910) 843-3311

Other identifiers 1

IdentifierTypeStateIssuer
7902550MedicaidNC

Other names 1

  • ROBESON FAMILY PRACTICE ASSOCIATES,P.A. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051025001022 NC Part B Supplier - Clinic/Group Practice 1456378884 Receives reassigned benefits from 5 practitioners
Practice locations: Red Springs, NC

National Provider Directory

National Provider Directory

Locations

1002 E 4th Ave
#C
Red Springs, NC 28377
Phone (910) 843-3311

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1801922901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002C E 4TH AVE",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283771642",
            "telephone_number": "910-843-3311",
            "fax_number": "910-843-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002C E 4TH AVE",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283771642",
            "telephone_number": "910-843-3311",
            "fax_number": "910-843-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBESON FAMILY PRACTICE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "CHAVIS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "910-843-3311"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7902550",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROBESON FAMILY PRACTICE ASSOCIATES,P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.