Generations Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200801162 Issued in NC

Legal business name

GENERATIONS FAMILY MEDICINE

Practice address

106 Tabor Crossing
Tabor City, NC 28463

Phone

(910) 653-6610

Fax

(910) 653-6606

NPI assigned

Aug 18, 2008

Organization subpart

No

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

Authorized official

Name

Robyn L Reed, CMOM

Title

Cmom Office MGT.

Phone

(910) 653-6610

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Generations Family Medicine Doing business as

Locations

Practitioners 1

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

• Kevin Joseph Lundell, FNP-C

  • Family Nurse Practitioner
  • Tabor City, NC
  • NPI 1992204556
  NPD (past)

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1962658237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 TABOR CROSSING",
            "city": "TABOR CITY",
            "state": "NC",
            "postal_code": "28463",
            "telephone_number": "910-653-6610",
            "fax_number": "910-653-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 TABOR CROSSING",
            "city": "TABOR CITY",
            "state": "NC",
            "postal_code": "28463",
            "telephone_number": "910-653-6610",
            "fax_number": "910-653-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CMOM OFFICE MGT.",
        "authorized_official_telephone_number": "910-653-6610",
        "authorized_official_credential": "CMOM"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200801162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909978",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Generations Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dameron Drug Store Inc
• Dameron Drug Store, Inc
• Dameron Drug Store, Inc
• Morgan Elizabeth Dameron, PHARMD
• Iris J Evans, NP
• Goshen Medical Center Incorporated
• Goshen Medical Center, Incorporated
• Christopher Coleman Inman, PHARMD
• Kerr Drug Inc
• Caroline Koonce, RPH

• Family Medicine Physician in Tabor City, NC
• Providers in Tabor City, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.

Verify at the official NPI Registry.