Sanford Psychiatric Group, PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

19427 Issued in NC

Legal business name

SANFORD PSYCHIATRIC GROUP, PA

Practice address

115 Carbonton Rd
Sanford, NC 27330-4008

Phone

(919) 776-9522

Fax

(919) 776-9813

NPI assigned

Mar 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Thomas A Wilson, M.D.

Title

Psychiatrist

Phone

(919) 776-9522

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rodney C Jones, M.S.W.,L.C.S.W.

  • Clinical Social Worker
  • Sanford, NC
  • NPI 1720191935
  NPD (past)
• Linda W Moore, RN, MSN

  • Psychiatric/Mental Health Registered Nurse
  • Sanford, NC
  • NPI 1841403755
  NPD (past)

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1932371051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CARBONTON RD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304008",
            "telephone_number": "919-776-9522",
            "fax_number": "919-776-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CARBONTON RD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304008",
            "telephone_number": "919-776-9522",
            "fax_number": "919-776-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD PSYCHIATRIC GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "919-776-9522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "19427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8988468",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanford Medical Group, P.a.
• Sanford Nephrology Clinic PA
• Sanford Optometric OD PA (Carolina Vision Associates)
• Sanford Pediatrics, P.a.
• Sanford Pharmacy LLC
• Sanford Sandhills Emergency Physicians, P.C.
• Sanford Senior Living, LLC
• Sanford Surgical Specialties, P.a.
• Sanford Therapeutic Massage & Bodywork, LLC
• Sanford Treatment Center, LLC

• Psychiatry Physician in Sanford, NC
• Providers in Sanford, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.