Island Family Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32636 Issued in NC

Legal business name

ISLAND FAMILY MEDICINE, PLLC

Practice address

2540 NC Highway 210 E
Hampstead, NC 28443-8988

Phone

(910) 329-9916

Fax

(910) 329-9919

NPI assigned

Mar 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. James S Blair III, MDNPI 1902885700

Title

President

Phone

(910) 329-9916

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2452/brand/1/csg/1/fhir/r4
• Direct secure messaging: james.blair.iii.1@2452.direct.athenahealth.com

Practitioners 7

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.

• James S Blair III, MD

  • Family Medicine Physician
  • Surf City, NC
  • NPI 1902885700
  Medicare reassignment Care Compare group Authorized official
• Michael James Davanzo, PA-C

  • Physician Assistant
  • Sneads Ferry, NC
  • NPI 1285864991
  Medicare reassignment Care Compare group
• Hailee Ann Martin, PA-C

  • Family Medicine Physician
  • Hampstead, NC
  • NPI 1255080453
  Medicare reassignment Care Compare group
• Rachel M Pearson, PA-C

  • Physician Assistant
  • Strongsville, OH
  • NPI 1659340321

  NC

  Medicare reassignment Care Compare group
• Heather L Davis, DO

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1528260981
  Medicare reassignment NPD
• Alexis Passingham

  • Family Nurse Practitioner
  • Holly Ridge, NC
  • NPI 1568808251
  Medicare reassignment NPD
• Hannah Christine Tria, P.A.-C

  • Physician Assistant
  • Wilmington, NC
  • NPI 1891206280
  Medicare reassignment

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1831414150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 2400",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284452400",
            "telephone_number": "910-329-9916",
            "fax_number": "910-329-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 NC HIGHWAY 210 E",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284438988",
            "telephone_number": "910-329-9916",
            "fax_number": "910-329-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-329-9916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "32636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "james.blair.iii.1@2452.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2540 Nc Highway 210 E",
            "city": "Hampstead",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284438988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Holly Anne Hudson
• Jennifer Leigh Huff, LCSW
• Carl Douglas Hurd, PMHNP
• Lisa Ann Iman, M.S., CCC-SLP
• Innate Health Family Chiropractic & Wellness
• Darrian Nicole Ivey
• Yoneida Izaguirre
• Jennifer Whitener Jackson, PTA
• Lindsey E James de la Rosa Buglewicz, LRT, CTRS
• Melissa Eve Jaworowski, LCMHCA

• Family Medicine Physician in Hampstead, NC
• Providers in Hampstead, 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 Sep 28, 2020; 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.