COLUMBUS REGIONAL HEALTH NETWORK (NPI# 1629318886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629318886 |
| Entity Type | Organization |
| Organization Name | COLUMBUS REGIONAL HEALTH NETWORK |
| Other Organization Name | SOUTH COLUMBUS MEDICAL CENTER |
| Practice Address |
14508 James B White Hwy S Tabor City NC 28463-8358 |
| Mailing Address |
Po Box 602530 Charlotte NC 28260-2530 |
| Practice Telephone | 9106537000 |
| Practice Fax Number | 9106537004 |
| Mailing Telephone | 9106537000 |
| Mailing Fax Number | 9106357004 |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-10-18 |
| Authorized Official Name | DANIEL L. WIENS (SENIOR VICE PRESIDENT/OPERATIONS) |
| Authorized Official Telephone | 7043550648 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLUMBUS REGIONAL HEALTH NETWORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1629318886 | 05 |
| Other Name | Type Code |
|---|---|
| South Columbus Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790224962 | Columbus Regional Health Network | Orthopaedic Surgery | 701 Jefferson St, Whiteville, NC 28472-3704 | 2017-02-21 |
| 1134509912 | Columbus Regional Health Network | Internal Medicine | 320 Jefferson St, Whiteville, NC 28472-3602 | 2015-06-05 |
| 1851724645 | Columbus Regional Health Network | Pediatrics | 36 Mcneill Plz, Whiteville, NC 28472-8602 | 2013-08-15 |
| 1518263268 | Columbus Regional Health Network | Internal Medicine | 619 Jefferson St, Whiteville, NC 28472-3707 | 2011-01-28 |
| 1801126479 | Columbus Regional Health Network | Urology | 320 Jefferson St, Whiteville, NC 28472-3602 | 2010-01-05 |
| 1932439593 | Columbus Regional Health Network | Urology | 25 Union School Rd Nw, Ocean Isle Beach, NC 28469-7307 | 2010-01-05 |
| 1508001009 | Columbus Regional Health Network | Internal Medicine | 500 Jefferson St, Whiteville, NC 28472-3634 | 2008-12-11 |
| Street Address |
14508 JAMES B WHITE HWY S |
| City | TABOR CITY |
| State | NC |
| Zip Code | 28463-8358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578565727 | Iris J Evans | Family Medicine | 14508 James B White Hwy S, Tabor City, NC 28463-8358 | 2005-06-01 |
| 1346533304 | Christy Phillips | Nurse Practitioner | 14508 James B White Hwy S, Tabor City, NC 28463-8358 | 2011-05-24 |
| 1508183633 | Columbus Regional Physicians Network | Family Medicine | 14508 James B White Hwy S, Tabor City, NC 28463-8358 | 2010-04-29 |
| 1023101680 | Misty Justus-baker | Physician Assistant | 14508 James B White Hwy S, Tabor City, NC 28463-8358 | 2006-10-02 |
| 1417936576 | Peter M Bleyer | Family Medicine | 14508 James B White Hwy S, Tabor City, NC 28463-8358 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992347157 | Mh Medical Services, PC | Nurse Practitioner | 1107 East 5th St., Tabor City, NC 28463 | 2019-10-09 |
| 1962658237 | Generations Family Medicine | Family Medicine | 106 Tabor Crossing, Tabor City, NC 28463 | 2008-08-18 |
| 1942404637 | Coming Together Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5112 Chadbourn Hwy, Chadbourn, NC 28463 | 2007-06-14 |
| 1568509826 | Dameron Drug Store, Inc | Durable Medical Equipment & Medical Supplies | 100 S Main St., Tabor City, NC 28463 | 2007-01-30 |
| 1871560631 | Dameron Drug Store Inc | Durable Medical Equipment & Medical Supplies | 100 S Main St, Tabor City, NC 28463 | 2006-03-01 |
| 1497972996 | Edward Mcclendon IIi | Dentist | 501 Hickman Rd., Tabor City, NC 28463-0536 | 2007-04-19 |
| 1609105592 | Premier Behavioral Services Inc | Community/Behavioral Health | 104 Industrial Park Road, Tabor City, NC 28463-1665 | 2009-12-23 |
| 1467568337 | Twin States Vital Care, Inc. | Durable Medical Equipment & Medical Supplies | 218b S Main St, Tabor City, NC 28463-1904 | 2006-08-22 |
| 1174639041 | Medicine Mart Ltc, LLC | Pharmacy | 214 S Main St, Tabor City, NC 28463-1904 | 2006-08-22 |
| 1912013889 | Tabor City Medicine Mart, Inc | Pharmacy | 220 S Main St, Tabor City, NC 28463-1904 | 2006-08-22 |
| Find all providers in zip 28463 | ||||
| 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 |
|---|---|---|---|---|
| 1205204856 | Mcleod Physician Associates II | Family Medicine | 706 E 5th St, Unit B, Tabor City, NC 28463-2206 | 2015-09-11 |
| 1962658237 | Generations Family Medicine | Family Medicine | 106 Tabor Crossing, Tabor City, NC 28463 | 2008-08-18 |
| 1386767226 | Kimberley Anastasia Drayton | Family Medicine | 706 E 5th St Unit B, Tabor City, NC 28463-2206 | 2007-04-07 |
| 1447251103 | Tabor City Family Medicine Center, Inc. | Family Medicine | 909 Pireway Rd, Tabor City, NC 28463-8942 | 2005-08-03 |
| 1578565727 | Iris J Evans | Family Medicine | 14508 James B White Hwy S, Tabor City, NC 28463-8358 | 2005-06-01 |
| 1548828965 | Tabor City Family Medical Clinic, PC | Family Medicine | 706 E 5th St Unit B, Tabor City, NC 28463-2335 | 2019-05-31 |
| 1508183633 | Columbus Regional Physicians Network | Family Medicine | 14508 James B White Hwy S, Tabor City, NC 28463-8358 | 2010-04-29 |
| 1417936576 | Peter M Bleyer | Family Medicine | 14508 James B White Hwy S, Tabor City, NC 28463-8358 | 2006-01-17 |
| 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 | TABOR CITY |
| Zip Code | 28463 |
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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.