Sanford Nephrology Clinic PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

SANFORD NEPHROLOGY CLINIC PA

Practice address

1139 Carthage St
Ste 105
Sanford, NC 27330

Phone

(919) 774-2875

Fax

(919) 708-4696

NPI assigned

Jan 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas C. Phillips III, M.D.

Title

Owner/Physician

Phone

(919) 356-8504

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sanford Nephrology Clinic, PA Former legal business name

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1851379168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4552 HIGHWAY 421",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376200627",
            "telephone_number": "919-356-8504",
            "fax_number": "919-708-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 CARTHAGE ST",
            "address_2": "STE 105",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "27330",
            "telephone_number": "919-774-2875",
            "fax_number": "919-708-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD NEPHROLOGY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "919-356-8504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8967669",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanford Nephrology Clinic, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sanford Dermatology, PA
• Sanford Emergency Group LLC
• Sanford Health and Rehabilitation Co LLC
• Sanford Manor, LLC
• Sanford Medical Group, P.a.
• Sanford Optometric OD PA
• Sanford Pediatrics, P.a.
• Sanford Pharmacy LLC
• Sanford Psychiatric Group, PA
• Sanford Sandhills Emergency Physicians, P.C.

• Nephrology Physician in Sanford, NC
• Providers in Sanford, NC by specialty
• Nephrology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.