Organization Active NPI

Southport Urgent Care PLLS

  • Family Medicine Physician
  • Southport, NC
National Provider Identifier
1902839632
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOUTHPORT URGENT CARE PLLS
Practice address
1456 N Howe St
Suite 100
Southport, NC 28461-2754
Phone
(910) 454-8889
Fax
(910) 454-8890
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Scott R Hitter, PANPI 1982633418
Title
Owner
Phone
(910) 454-9989

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1456 N Howe St
Suite 100
Southport, NC 28461-2754

Mailing address

1456 N Howe St
Suite 100
Southport, NC 28461-2754
Phone (910) 454-8889

Other identifiers 1

IdentifierTypeStateIssuer
5902987MedicaidNC

National Provider Directory

National Provider Directory

Locations

1456 N Howe St
Ste 100
Southport, NC 28461
Phone (910) 454-8889

8593 River Rd SE
#2
Southport, NC 28461

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": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902839632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 N HOWE ST",
            "address_2": "SUITE 100",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284612754",
            "telephone_number": "910-454-8889",
            "fax_number": "910-454-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 N HOWE ST",
            "address_2": "SUITE 100",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284612754",
            "telephone_number": "910-454-8889",
            "fax_number": "910-454-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPORT URGENT CARE PLLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HITTER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-454-9989",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902987",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.