Three Pines Internal Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

THREE PINES INTERNAL MEDICINE

Practice address

138 Memory PLZ
Whiteville, NC 28472-2640

Phone

(910) 207-6218

Fax

(910) 207-6219

NPI assigned

Sep 25, 2019

Last updated

Sep 25, 2019By 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

Donald Peschong, PA-CNPI 1790706620

Title

Provider

Phone

(910) 207-6218

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Donald Francis Peschong, PA-C

  • Physician Assistant
  • Lumberton, NC
  • NPI 1790706620
  NPD Authorized official

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1952952574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 MEMORY PLZ",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284722640",
            "telephone_number": "910-207-6218",
            "fax_number": "910-207-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 MEMORY PLZ",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284722640",
            "telephone_number": "910-207-6218",
            "fax_number": "910-207-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE PINES INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "PESCHONG",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "910-207-6218",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Whiteville, NC
• Providers in Whiteville, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.