HOLLY RIDGE HEALTHCARE PA (NPI# 1558544957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558544957 |
| Entity Type | Organization |
| Organization Name | HOLLY RIDGE HEALTHCARE PA |
| Practice Address |
119 Holly St Holly Ridge NC 28445-7898 |
| Practice Telephone | 9103291707 |
| Practice Fax Number | 9103291716 |
| Mailing Telephone | 9103291707 |
| Mailing Fax Number | 9103291716 |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2019-03-28 |
| Authorized Official Name | DR. JAMES HENRY PRIDGEN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9103291707 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 29495 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89012R8 | 05 |
| Street Address |
119 HOLLY ST |
| City | HOLLY RIDGE |
| State | NC |
| Zip Code | 28445-7898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114407939 | Jessica Clark | Physician Assistant | 119 Holly St, Holly Ridge, NC 28445-7898 | 2018-08-21 |
| 1285000646 | Holly Ridge Chiropractic & Auto Injury | Chiropractor | 119 Holly St, Holly Ridge, NC 28445 | 2015-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790246304 | Christopher Burkett | Dietitian, Registered | Stone Bay Base Rr136, Fpo, AA 28445 | 2019-03-27 |
| 1154733707 | Valjoy Beach Care, P.a. | Physician Assistant | 204-d N New River Drive, Surf City, NC 28445 | 2014-05-29 |
| 1487078150 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 420 Fun Center Dr, Surf City, NC 28445 | 2014-02-14 |
| 1114272440 | Jennifer Nicole Buchanan | Pharmacist | 13500 Nc Hwy 50/210, Surf City, NC 28445 | 2012-07-24 |
| 1891027652 | Selena A Kennaday | Pharmacist | 420 Fun Center Drive, Walmart Pharmacy, Surf City, NC 28445 | 2010-02-04 |
| 1497964787 | Primary Vision Care Center, O.d., P.a. | Optometrist | 13520 Nc Hwy 50, Surf City, NC 28445 | 2007-05-22 |
| 1922120260 | Jim Lankford White | Dentist | 119 Holly Street, Holly Ridge, NC 28445 | 2007-04-06 |
| 1215082540 | Beach Care Pa | Nurse Practitioner | 204 D New River Drive, Surf City, NC 28445 | 2007-01-25 |
| 1023163748 | Sandra Thompson Brown | Counselor | 114 Dunes Ct., Surf City, NC 28445 | 2007-01-24 |
| 1972657302 | Family Urgent Care of America, Inc | Non-Pharmacy Dispensing Site | 502 North Highway 17, Holly Ridge, NC 28445 | 2007-01-23 |
| Find all providers in zip 28445 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740463140 | South Whiteville Urgent Care & Family Practice Pa | Family Medicine | 308 Us Highway 17 N, Holly Ridge, NC 28445-7828 | 2007-12-10 |
| 1295871705 | Wilmington Medical Group Pa | Family Medicine | 308 Hwy 17 N, Holly Ridge, NC 28445-7828 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586581 | Fhpg, LLC | Family Medicine | 1690 Us Highway 1 S Ste 200, Southern Pines, NC 28387-7037 | 2020-10-22 |
| 1225637333 | Mcpc-8, LLC | Family Medicine | 3110 S Horner Blvd Ste 4&5, Sanford, NC 27332-8212 | 2020-10-20 |
| 1740889864 | Mcpc-8, LLC | Family Medicine | 1690 Us Highway 1 S Ste 100, Southern Pines, NC 28387-7037 | 2020-10-20 |
| 1851999882 | Integrative Wellness Partners, Inc | Family Medicine | 3555 Hansa Dr, Castle Hayne, NC 28429-5863 | 2020-10-12 |
| 1124625504 | Tiffany Anne Swanson | Family Medicine | 405 Climax St, Graham, NC 27253-1608 | 2020-10-08 |
| 1235745985 | Alegis Care - North Carolina PC | Family Medicine | 11016 Rushmore Dr Ste 300, Charlotte, NC 28277-3651 | 2020-09-18 |
| 1902411077 | Carolina Medical Partners Pllc | Family Medicine | 10535 Flennigan Way, Charlotte, NC 28277-1417 | 2020-09-15 |
| 1558975433 | Kerr Area Rural Medical Alliance Pllc | Family Medicine | 266 Raymond Tharrington Rd, Louisburg, NC 27549-9687 | 2020-09-08 |
| 1083226906 | Relymd Medical Group Nc, Pllc | Family Medicine | 212 S Tryon St Ste 1000, Charlotte, NC 28281-0001 | 2020-08-21 |
| 1184233884 | Brittany Joyce Mcneil | Family Medicine | 1010 S 16th St, Wilmington, NC 28401-8018 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | HOLLY RIDGE |
| Zip Code | 28445 |
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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.