Organization Active NPI

Burlington Medical Center PLLC

  • Multi-Specialty Clinic/Center
  • Burlington, NC
National Provider Identifier
1902198146
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
168650 Issued in NC
Legal business name
BURLINGTON MEDICAL CENTER PLLC
Practice address
2921 Crouse LN
Burlington, NC 27215-8833
Phone
(336) 585-1212
Fax
(336) 585-1112
NPI assigned
May 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Authorized official

Name
Dr. Shamil J. Morayati, M.D.
Title
Sole Member
Phone
(336) 585-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 168650 NC Primary

Addresses

Primary practice location

2921 Crouse LN
Burlington, NC 27215-8833

Mailing address

2921 Crouse LN
Burlington, NC 27215-8833
Phone (336) 585-1212

National Provider Directory

National Provider Directory

Locations

2921 Crouse Ln
Burlington, NC 27215
Phone (336) 585-1212

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71897

NPI Registry JSON

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1902198146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 CROUSE LN",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158833",
            "telephone_number": "336-585-1212",
            "fax_number": "336-585-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 CROUSE LN",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158833",
            "telephone_number": "336-585-1212",
            "fax_number": "336-585-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-06",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "MORAYATI",
        "authorized_official_first_name": "SHAMIL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "336-585-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NC",
            "license": "168650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.