Organization Active NPI

Longleaf Wellness PLLC

  • Family Medicine Physician
  • Raeford, NC
National Provider Identifier
1821643172
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LONGLEAF WELLNESS PLLC
Practice address
1090 E Central Ave
Raeford, NC 28376-3039
Phone
(910) 875-4545
Fax
(910) 875-8972
NPI assigned
Aug 5, 2019
Last updated
Aug 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Authorized official

Name
Margaret Anne Monroe, FNP-CNPI 1871027524
Title
President
Phone
(910) 875-4545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1090 E Central Ave
Raeford, NC 28376-3039

Mailing address

1090 E Central Ave
Raeford, NC 28376-3039
Phone (910) 875-4545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191008003408 NC Part B Supplier - Clinic/Group Practice 3072844836 Receives reassigned benefits from 3 practitioners
Practice locations: Raeford, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1013212Longleaf Wellness, PLLC1090 East Central Ave, Raeford, NC 28376Certificate of waiverDec 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1821643172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 E CENTRAL AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763039",
            "telephone_number": "910-875-4545",
            "fax_number": "910-875-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 E CENTRAL AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763039",
            "telephone_number": "910-875-4545",
            "fax_number": "910-875-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGLEAF WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-875-4545",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.