Active NPI
Cardinal Clinic LLC
- Community/Behavioral Health Agency
- Southern Pines, NC
National Provider Identifier
1932263720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CARDINAL CLINIC LLC
- Practice address
- 160 Pinehurst Ave Ste J
Southern Pines, NC 28387-7078 - Phone
- (910) 693-7777
- Fax
- (910) 693-1524
- NPI assigned
- Dec 19, 2006
- Last updated
- May 20, 2009
- 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
- Tony Garcia
- Title
- QM Coordinator
- Phone
- (910) 864-0187
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
160 Pinehurst Ave Ste J
Southern Pines, NC 28387-7078
Mailing address
1540 Purdue Dr Ste 200
Fayetteville, NC 28303-5510
Phone (910) 867-8889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8300367 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
160 Pinehurst Ave
Ste J
Southern Pines, NC 28387
Phone (910) 693-7777
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Social Worker
- Southern Pines, NC
- NPI 1588753347
-
- Clinical Social Worker
- Southern Pines, NC
- NPI 1871627398
-
- Clinical Social Worker
- Matthews, NC
- NPI 1215098900
-
- Social Worker
- Southern Pines, NC
- NPI 1629168257
-
- Clinical Psychologist
- Southern Pines, NC
- NPI 1205854825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242777600000",
"number": "1932263720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 PURDUE DR STE 200",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283035510",
"telephone_number": "910-867-8889",
"fax_number": "910-487-3061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 PINEHURST AVE STE J",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283877078",
"telephone_number": "910-693-7777",
"fax_number": "910-693-1524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDINAL CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2009-05-20",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "TONY",
"authorized_official_title_or_position": "QM COORDINATOR",
"authorized_official_telephone_number": "910-864-0187"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300367",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southern Pines, NC
- John W. Byron, M.D.
- Rosemary Gertrude Calhoun, M.A.
- Brittany Call
- Loherminia Figueroa Calma, PHYSICAL THERAPIST
- Shuris Alberta Campbell
- Cardinal Family Chiropractic, PA
- Caroline Goforth Carlson, PT
- Carolina Eye Associates Inc (Carolina Eye Associates PA)
- Carolina Health Services, Inc.
- Carolina Premier Health Care PA (Family Care Plus)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.