PERSON FAMILY MEDICAL CENTER INCORPORATED (NPI# 1194899542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194899542 |
| Entity Type | Organization |
| Organization Name | PERSON FAMILY MEDICAL CENTER INCORPORATED |
| Practice Address |
702 N Main St Roxboro NC 27573-4755 |
| Mailing Address |
Po Box 350 702 N Main St Person Family Dental Center Roxboro NC 27573 |
| Practice Telephone | 3365992900 |
| Practice Fax Number | 3365997892 |
| Mailing Telephone | 3365992900 |
| Mailing Fax Number | 3365997892 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-05-14 |
| Authorized Official Name | JANET A WALKER (CFO) |
| Authorized Official Telephone | 3365992900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
7644NC | NC | Dental Providers |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
7644NC | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 344504D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952493587 | Person Family Medical Center Incorporated | Clinic/Center | 702 North Main Street, Roxboro, NC 27573-4755 | 2006-09-29 |
| Street Address |
702 N MAIN ST |
| City | ROXBORO |
| State | NC |
| Zip Code | 27573-4755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104478882 | Kaitlyn Kirby Lytle | Physician Assistant | 702 N Main St, Roxboro, NC 27573-4755 | 2019-07-12 |
| 1487219879 | Mary Elizabeth Matthews | Physician Assistant | 702 N Main St, Roxboro, NC 27573-4755 | 2019-05-01 |
| 1780160135 | Quinn Demott | Nurse Practitioner | 702 N Main St, Roxboro, NC 27573-4755 | 2018-07-18 |
| 1639609415 | Jessica Anne Cooper | Social Worker | 702 N Main St, Roxboro, NC 27573-4755 | 2017-06-14 |
| 1598291163 | John Illsley | Physician Assistant | 702 N Main St, Roxboro, NC 27573-4755 | 2017-05-02 |
| 1609263599 | Alisa Paliy | Psychiatry & Neurology | 702 N Main St, Roxboro, NC 27573-4755 | 2015-04-19 |
| 1275948804 | Rivkah Krevsky | Dentist | 702 N Main St, Roxboro, NC 27573-4755 | 2014-06-23 |
| 1811239288 | Aileen V Searles | Pediatrics | 702 N Main St, Roxboro, NC 27573-4755 | 2013-03-22 |
| 1881948339 | Angela J Good | Nurse Practitioner | 702 N Main St, Roxboro, NC 27573-4755 | 2012-11-06 |
| 1568726610 | Stephanie George | Dentist | 702 N Main St, Roxboro, NC 27573-4755 | 2012-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043786783 | Caitlin Elissa Seidler | Physician Assistant | 910 N Madison Blvd Ste B, Roxboro, NC 27573 | 2018-10-21 |
| 1467821801 | Iris W Jackola | Nurse Practitioner | 796 Doctor's Court, Roxboro, NC 27573 | 2015-09-16 |
| 1568897213 | Person County Group Homes, Inc. | Community/Behavioral Health | 607 Henry Street, Roxboro, NC 27573 | 2013-09-12 |
| 1760820336 | J-1 Consultants LLC | Psychologist | 315 Old Allensville Road, Roxboro, NC 27573 | 2013-06-05 |
| 1932445749 | Ronnie Lee Chandler | Pharmacist | 109 North Main St., Roxboro, NC 27573 | 2012-12-26 |
| 1154559581 | Roxboro Medaccess Primary Care | Clinic/Center | 3762 Durham Road, Roxboro, NC 27573 | 2009-06-24 |
| 1699922302 | Bruce Wayne Walsh | Counselor | 355 C1 S. Madison Blvd, Roxboro, NC 27573 | 2008-08-25 |
| 1033232020 | Person County Department of Social Services | Durable Medical Equipment & Medical Supplies | 355-b South Madison Blvd, Roxboro, NC 27573 | 2007-04-06 |
| 1417095886 | Thomas Jones Day Jr. | Dentist | 407 North Main St, Roxboro, NC 27573 | 2007-02-01 |
| 1578622288 | Corey Wayne Wilson | Dentist | 112 West Barden Street, Roxboro, NC 27573 | 2006-12-08 |
| Find all providers in zip 27573 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952493587 | Person Family Medical Center Incorporated | Clinic/Center | 702 North Main Street, Roxboro, NC 27573-4755 | 2006-09-29 |
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|---|---|---|---|---|
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| 1245842178 | Gaston Family Health Services, Inc. | Clinic/Center | 144 William Ellis Dr, Advance, NC 27006-7990 | 2020-08-21 |
| 1851909444 | Gaston Family Health Services, Inc. | Clinic/Center | 302 28th Ave Ne, Hickory, NC 28601-1116 | 2020-07-20 |
| 1750999496 | Gaston Family Health Services, Inc. | Clinic/Center | 180 War Eagle Dr, Mocksville, NC 27028-6151 | 2020-07-20 |
| 1518575265 | Gaston Family Health Services, Inc. | Clinic/Center | 4675 Oxford School Rd, Claremont, NC 28610-9468 | 2020-07-20 |
| 1124636873 | Gaston Family Health Services, Inc. | Clinic/Center | 451 Catawba Valley Blvd, Hickory, NC 28602-9631 | 2020-07-20 |
| 1093323099 | Gaston Family Health Services, Inc. | Clinic/Center | 5040 E Bandys Xrd, Catawba, NC 28609-8075 | 2020-07-16 |
| 1366088957 | Gaston Family Health Services, Inc. | Clinic/Center | 497 Farmington Rd, Mocksville, NC 27028-7639 | 2019-11-19 |
| 1285270868 | Gaston Family Health Services, Inc. | Clinic/Center | 160 Martin Luther King Junior Rd, Mocksville, NC 27028 | 2019-11-19 |
| 1306481957 | Gaston Family Health Services, Inc. | Clinic/Center | 3407 Plateau Rd, Newton, NC 28658-8809 | 2019-11-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.