NPIMap

Organization Active NPI

Long Beach Family Medical Center

  • Preferred Provider Organization
  • Oak Island, NC
National Provider Identifier
1902188964
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
200701097 Issued in NC
Legal business name
LONG BEACH FAMILY MEDICAL CENTER
Practice address
4700 E Oak Island Dr
Suite F
Oak Island, NC 28465-5257
Phone
(910) 278-3500
Fax
(910) 278-7233
NPI assigned
Sep 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Dr. Morgan A Todd, M. D.NPI 1548347040
Title
Physician
Phone
(910) 278-3500

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 200701097 NC
Preferred Provider Organization 305R00000X 200701097 NC Primary

Addresses

Primary practice location

4700 E Oak Island Dr
Suite F
Oak Island, NC 28465-5257

Mailing address

4700 E Oak Island Dr
Suite F
Oak Island, NC 28465-5257
Phone (910) 278-3500

Other identifiers 1

IdentifierTypeStateIssuer
200701097OtherNCSTATE LICENSE

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.

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1902188964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 E OAK ISLAND DR",
            "address_2": "SUITE F",
            "city": "OAK ISLAND",
            "state": "NC",
            "postal_code": "284655257",
            "telephone_number": "910-278-3500",
            "fax_number": "910-278-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 E OAK ISLAND DR",
            "address_2": "SUITE F",
            "city": "OAK ISLAND",
            "state": "NC",
            "postal_code": "284655257",
            "telephone_number": "910-278-3500",
            "fax_number": "910-278-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH FAMILY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "910-278-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "200701097",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NC",
            "license": "200701097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "200701097",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Island, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.