NPIMap

Organization Active NPI

North Carolina Family Doctor, P.a.

  • Clinic/Center
  • Chapel Hill, NC
National Provider Identifier
1881623023
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
27884 Issued in NC
Legal business name
NORTH CAROLINA FAMILY DOCTOR, P.A.
Practice address
1728 Fordham Blvd
151 Rams Plaza
Chapel Hill, NC 27514-2397
Phone
(919) 968-1985
Fax
(919) 942-0038
NPI assigned
Jul 1, 2006
Last updated
Feb 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Dr. Glenn Ashley Withrow, M.D.NPI 1073539912
Title
Medical Director
Phone
(919) 968-1985

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 27884 NC Primary

Addresses

Primary practice location

1728 Fordham Blvd
151 Rams Plaza
Chapel Hill, NC 27514-2397

Mailing address

1728 Fordham Blvd
151 Rams Plaza
Chapel Hill, NC 27514-2397
Phone (919) 968-1985

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1881623023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 FORDHAM BLVD",
            "address_2": "151 RAMS PLAZA",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142397",
            "telephone_number": "919-968-1985",
            "fax_number": "919-942-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 FORDHAM BLVD",
            "address_2": "151 RAMS PLAZA",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142397",
            "telephone_number": "919-968-1985",
            "fax_number": "919-942-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA FAMILY DOCTOR, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "WITHROW",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "919-968-1985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "27884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.