Individual provider Active NPI

Sabrina Marie Mentock, MD

  • Family Medicine Physician
  • Durham, NC
National Provider Identifier
1841346947
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R18296 Issued in NC
Practice address
1413 Carpenter Fletcher Rd
Durham, NC 27713-2007
Phone
(919) 544-6461
Fax
(919) 361-2487
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R18296 NC Primary

Addresses

Primary practice location

1413 Carpenter Fletcher Rd
Durham, NC 27713-2007

Mailing address

1413 Carpenter Fletcher Rd
Durham, NC 27713-2007
Phone (919) 544-6461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080922000351 NC Practitioner - Family PracticePractitioner - General Practice 7810064573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
University of Colorado School of Medicine, Denver, 1988
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1413 Carpenter Fletcher Rd
Durham, NC 27713-2007
Phone (919) 544-6461

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R18296NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care, P.a. Family Medicine CurrentSince May 2, 2007 Accepting new patients

Locations

1413 Carpenter Fletcher Rd
Durham, NC 27713
Phone (919) 544-6461

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1841346947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 CARPENTER FLETCHER RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132007",
            "telephone_number": "919-544-6461",
            "fax_number": "919-361-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 CARPENTER FLETCHER RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132007",
            "telephone_number": "919-544-6461",
            "fax_number": "919-361-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENTOCK",
        "first_name": "SABRINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "R18296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.