FIRST FOUNDATION CLINIC OF THE CAROLINAS, INC. (NPI# 1912968934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912968934 |
| Entity Type | Organization |
| Organization Name | FIRST FOUNDATION CLINIC OF THE CAROLINAS, INC. |
| Practice Address |
107 N Summey St Dallas NC 28034-1824 |
| Mailing Address |
Po Box 578 Dallas NC 28034-0578 |
| Practice Telephone | 7049230446 |
| Practice Fax Number | 7049238319 |
| Mailing Telephone | 7049230446 |
| Mailing Fax Number | 7049238319 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2008-08-22 |
| Authorized Official Name | MS. THIRRFERN JAMERSON (OFFICE MANAGER) |
| Authorized Official Telephone | 7049230446 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 0233U | 01 |
| NC | 790233U | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700051257 | First Foundation Clinic of The Carolinas, Inc. | Internal Medicine | 206 Gamble Dr, Suite B, Lincolnton, NC 28092-4439 | 2008-04-25 |
| Street Address |
107 N SUMMEY ST |
| City | DALLAS |
| State | NC |
| Zip Code | 28034-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354625 | Alice Jordan Lindo | Counselor | 107 N Summey St, Dallas, NC 28034-1824 | 2020-10-19 |
| 1831739259 | Brooke Spano | Social Worker | 107 N Summey St, Dallas, NC 28034-1824 | 2020-01-14 |
| 1639633563 | Summer Hope Bryant | Social Worker | 107 N Summey St, Dallas, NC 28034-1824 | 2019-01-24 |
| 1518469204 | Daria Fowler | Counselor | 107 N Summey St, Dallas, NC 28034 | 2018-03-08 |
| 1871986919 | Support Incorporated | Social Worker | 107 N Summey St, Dallas, NC 28034-1824 | 2015-03-13 |
| 1144547894 | Krista Horton Mooney | Counselor | 107 N Summey St, Dallas, NC 28034-1824 | 2010-04-21 |
| 1215035506 | Harvey C Olley | Physician Assistant | 107 N Summey St, Dallas, NC 28034-1824 | 2006-09-20 |
| 1023070547 | Donatus Ogu | Internal Medicine | 107 N Summey St, Dallas, NC 28034-1824 | 2006-04-03 |
| 1336101757 | Arshadd Kakrakandy | Internal Medicine | 107 N Summey St, Dallas, NC 28034-1824 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467759548 | Nyayp Therapeutic Services | Counselor | 1012 Philadelpia Church Rd, Dallas, NC 28034 | 2011-02-25 |
| 1790090959 | Nyayp, LLC | Counselor | 1012 Philadelphia Church Road, Ste A, Dallas, NC 28034 | 2010-08-12 |
| 1952537359 | Vimal Patel | Pharmacist | 915 W. Trade Street, Dallas, NC 28034 | 2009-06-01 |
| 1730327305 | Ingles Markets Inc | Pharmacy | 715 W Trade St, Dallas, NC 28034 | 2009-02-04 |
| 1346365848 | Dallas Express Pharmacy | Durable Medical Equipment & Medical Supplies | 111 North Hoffman, Suite A, Dallas, NC 28034 | 2007-03-21 |
| 1679577027 | Joshua W Baker | Optometrist | 820 Lower Dallas Hwy, Dallas, NC 28034 | 2005-06-13 |
| 1295106011 | Tolulope Alokolaro | Pharmacist | 1300 Dallas Cherryville Hwy, Dallas, NC 28034 | 2015-10-20 |
| 1679690994 | Karen D Packer | Speech-Language Pathologist | 1906 Dallas Cherryville Hwy, Dallas, NC 28034-0899 | 2007-03-23 |
| 1144323833 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3126 Dallas High Shoals Hwy, Dallas, NC 28034-1306 | 2006-09-07 |
| 1306324785 | Allyson Beth Middleton | Pharmacist | 3126 Dallas High Shoals Hwy, Dallas, NC 28034-1306 | 2018-07-30 |
| Find all providers in zip 28034 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693708 | Sally Purcell | Internal Medicine | 6150 E Mockingbird Ln, Dallas, TX 75214-2601 | 2020-09-15 |
| 1881211001 | Priscilla Kovacs | Internal Medicine | 2909 S Hampton Rd # D107, Dallas, TX 75224-3000 | 2020-07-03 |
| 1447876586 | William F Cox Md Pa | Internal Medicine | 8220 Walnut Hill Ln Ste 500, Dallas, TX 75231-4414 | 2020-06-24 |
| 1801418637 | Concierge Telemedicine Pllc | Internal Medicine | 10847 Sanden Dr Ste 102, Dallas, TX 75238-5356 | 2020-05-14 |
| 1609498146 | Carie Medical Group (de), P.a. | Internal Medicine | 8951 Cypress Waters Blvd., Suite 160-1045, Dallas, TX 75019 | 2020-05-07 |
| 1386264125 | Dylan Lopez | Internal Medicine | Methodist Health System, Methodist Dallas Medical Center 1441 N. Beckley Ave., Dallas, TX 75203 | 2020-04-22 |
| 1588138143 | Element Health & Wellness, Pllc | Internal Medicine | 4225 Office Pkwy # 102, Dallas, TX 75204-3628 | 2019-01-17 |
| 1245712421 | Kokoro Body Therapies, Pllc | Internal Medicine | 14850 Montfort Dr Ste 181, Lb 11, Dallas, TX 75254-1450 | 2018-09-04 |
| 1033608740 | Ahsan Riaz Md Pllc | Internal Medicine | 6207 Walnut Hill Ln, Dallas, TX 75230-5114 | 2018-05-08 |
| 1821590860 | Kairos Health Clinics | Internal Medicine | 9101 Lbj Fwy Ste 310, Dallas, TX 75243-1901 | 2018-03-06 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on FIRST FOUNDATION CLINIC OF THE CAROLINAS, INC..
| 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.