Active NPI
North State Medical Group, P.a.
- Family Medicine Physician
- Denver, NC
National Provider Identifier
1922037019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NORTH STATE MEDICAL GROUP, P.A.
- Practice address
- 2266 NC 16 Business North
Denver, NC 28037-8254 - Phone
- (704) 483-2200
- Fax
- (704) 483-2214
- NPI assigned
- Jul 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gerald Ahigian, M.D.
- Title
- President
- Phone
- (704) 483-2200
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2266 NC 16 Business North
Denver, NC 28037-8254
Mailing address
2266 N Highway 16
Denver, NC 28037-8254
Phone (704) 483-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890131U | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
2266 N NC 16 Business Hwy
Denver, NC 28037
Phone (704) 483-2200
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Denver, NC
- NPI 1932154432
-
- Family Medicine Physician
- Denver, NC
- NPI 1801840178
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": "1424217600000",
"number": "1922037019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2266 N HIGHWAY 16",
"city": "DENVER",
"state": "NC",
"postal_code": "280378254",
"telephone_number": "704-483-2200",
"fax_number": "704-483-2214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2266 NC 16 BUSINESS NORTH",
"city": "DENVER",
"state": "NC",
"postal_code": "280378254",
"telephone_number": "704-483-2200",
"fax_number": "704-483-2214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH STATE MEDICAL GROUP, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-01",
"last_updated": "2015-02-18",
"status": "A",
"authorized_official_last_name": "AHIGIAN",
"authorized_official_first_name": "GERALD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-483-2200",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890131U",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.