NPIMap

Organization Active NPI

Galloway Ridge, Inc.

  • Multi-Specialty Clinic/Center
  • Pittsboro, NC
National Provider Identifier
1972534352
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
GALLOWAY RIDGE, INC.
Practice address
50 Craggamore
Pittsboro, NC 27312
Phone
(919) 545-2215
Fax
(919) 545-2696
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Robert P Zimmer
Title
Executive Director
Phone
(919) 545-2604

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

50 Craggamore
Pittsboro, NC 27312

Mailing address

3000 Galloway Ridge Road
Pittsboro, NC 27312-8639
Phone (919) 545-2215

Other names 1

  • The Duke Center for Living Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060413000127 NC Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 2062430929 Practice locations: Pittsboro, NC
O20120515000606 NC Part B Supplier - Clinic/Group Practice 2062430929 Receives reassigned benefits from 10 practitioners
Practice locations: Pittsboro, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Galloway Ridge Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Clynelish Close
Pittsboro, NC 27312
Phone (919) 545-2607

3000 Galloway Rdg
Ofc
Pittsboro, NC 27312

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1972534352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 GALLOWAY RIDGE ROAD",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273128639",
            "telephone_number": "919-545-2215",
            "fax_number": "919-545-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CRAGGAMORE",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "27312",
            "telephone_number": "919-545-2215",
            "fax_number": "919-545-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLOWAY RIDGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "ZIMMER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-545-2604"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Duke Center for Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Duke Center for Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.