Organization Active NPI

Asheboro Family Physicians of North Carolina, PA

  • Family Medicine Physician
  • Asheboro, NC
National Provider Identifier
1932259884
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
138748 Issued in NC
Legal business name
ASHEBORO FAMILY PHYSICIANS OF NORTH CAROLINA, PA
Practice address
375 Sunset Ave
Asheboro, NC 27203-5611
Phone
(336) 625-4215
Fax
(336) 626-0919
NPI assigned
Jan 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Patricia Ann Shevlin, MDNPI 1487603502
Title
Co-Owner
Phone
(336) 625-4215

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
Family Medicine Physician 207Q00000X 138748 NC Primary

Addresses

Primary practice location

375 Sunset Ave
Asheboro, NC 27203-5611

Mailing address

375 Sunset Ave
Asheboro, NC 27203-5611
Phone (336) 625-4215

Other identifiers 1

IdentifierTypeStateIssuer
790276MMedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932259884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 SUNSET AVE",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035611",
            "telephone_number": "336-625-4215",
            "fax_number": "336-626-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 SUNSET AVE",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035611",
            "telephone_number": "336-625-4215",
            "fax_number": "336-626-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHEBORO FAMILY PHYSICIANS OF NORTH CAROLINA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEVLIN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "336-625-4215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "138748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790276M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, 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.