Swack Medical Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SWACK MEDICAL ASSOCIATES

Practice address

2400 Wayne Memorial Dr
Suite C
Goldsboro, NC 27534-1789

Phone

(724) 691-7912

Fax

(919) 988-9676

NPI assigned

Jan 12, 2016

Last updated

Mar 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Randy Lee Swackhammer, MDNPI 1770607228

Title

President

Phone

(919) 988-9674

Specialties & licenses 1

Addresses

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.

• Randy L Swackhammer, M.D.

  • Internal Medicine Physician
  • Goldsboro, NC
  • NPI 1770607228
  Authorized official Same address or phone
• Gayle Yoder, AUD

  • Audiologist
  • Smithfield, NC
  • NPI 1023905338
  NPD

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1932565694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WAYNE MEMORIAL DR",
            "address_2": "SUITE C",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341789",
            "telephone_number": "919-988-9674",
            "fax_number": "919-988-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WAYNE MEMORIAL DR",
            "address_2": "SUITE C",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341789",
            "telephone_number": "724-691-7912",
            "fax_number": "919-988-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWACK MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "SWACKHAMMER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-988-9674",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Support Care
• Support Care LLC
• Jennifer Alphin Sutton
• Lakisha Symone Sutton, PMHNP
• Sutton's Retirement Center
• Lydia Asper Swackhammer, CPNP
• Randy L Swackhammer, M.D.
• Joseph Swales, RDN, CDCES
• Swanville Dialysis, LLC (Eagles Nest Home Training)
• Mark Gregory Swedenburg, MD

• Internal Medicine Physician in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.