Four County Primary Care, RLLP

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FOUR COUNTY PRIMARY CARE, RLLP

Practice address

120 Charles Rollins Rd
Suite 102
Henderson, NC 27536-2882

Phone

(252) 436-0440

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Jimmy E. Chatman Sr.

Title

Vice President/Finance

Phone

(252) 436-1101

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1811917412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CHARLES ROLLINS RD",
            "address_2": "SUITE 102",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362882",
            "telephone_number": "252-436-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CHARLES ROLLINS RD",
            "address_2": "SUITE 102",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362882",
            "telephone_number": "252-436-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR COUNTY PRIMARY CARE, RLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "CHATMAN",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VICE PRESIDENT/FINANCE",
        "authorized_official_telephone_number": "252-436-1101",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890214Q",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Food Lion, LLC (Food Lion Pharmacy #1660)
• Foot and Ankle Specialists of the Mid-Atlantic, LLC
• Michelle Ford, BA, PSYCHOLOGY
• Mark Fordham, CP
• Four County Eye Associates
• Four County Psychological Associates, PA
• Drew Frankenfield
• Franklin-Granville-Vance Partnership for Children (Smart Start)
• Freedom House Recovery Center, Inc.
• Numa Franklin Freeman, BS PHARMACY

• Primary Care Clinic/Center in Henderson, NC
• Providers in Henderson, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.