Family Medicine of Harnett County, Incorprated

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200801349 Issued in NC

Legal business name

FAMILY MEDICINE OF HARNETT COUNTY, INCORPRATED

Doing business as

Harnett Family Medicine

Practice address

901 Denim Dr
Erwin, NC 28339-2307

Phone

(910) 897-5521

Fax

(910) 897-2003

NPI assigned

Apr 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Robin Warren Blackwelder

Title

Insurance Manager

Phone

(910) 897-5521

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Harnett Family Medicine Doing business as

Practitioners 2

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

• Carra Avery McLamb, PAC

  • Physician Assistant
  • Erwin, NC
  • NPI 1225152911
  NPD
• Lakshman Rao, MD

  • Internal Medicine Physician
  • Erwin, NC
  • NPI 1063468809
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1821053307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 DENIM DR",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283392307",
            "telephone_number": "910-897-5521",
            "fax_number": "910-897-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 DENIM DR",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283392307",
            "telephone_number": "910-897-5521",
            "fax_number": "910-897-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE OF HARNETT COUNTY, INCORPRATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "BLACKWELDER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "910-897-5521",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200801349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89014FT",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harnett Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erwin Iga Inc
• Erwin Iga, Inc.
• Kiara Marie Everett, LCAS-A
• Excel Outreach and Supportive Services LLC
• Excel Outreach Center, Inc.
• Fresh Start-New Beginnings Community Services Inc.
• Sonya Godwin
• Good Hope Hospital, Inc.
• Good Hope Hospital, Inc.
• Sylvia R. Goodnight, M.ED.

• Family Medicine Physician in Erwin, NC
• Providers in Erwin, 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 May 29, 2013; 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.