ELIZABETHTOWN FAMILY PHYSICIAN – NPI #1225133408
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.

ELIZABETHTOWN FAMILY PHYSICIAN is a provider located in ELIZABETHTOWN, NC. NPPES has assigned the NPI number 1225133408 to ELIZABETHTOWN FAMILY PHYSICIAN on September 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ELIZABETHTOWN FAMILY PHYSICIAN” is a dba name, the actual legal business name for this organization is COTTLE MEDICAL GROUP PA. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 14 years ago on Apr 05, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELIZABETHTOWN FAMILY PHYSICIAN below.

NPI Profile for
COTTLE MEDICAL GROUP PA

NPI Number
1225133408
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COTTLE MEDICAL GROUP PA
Doing Business As (dba): ELIZABETHTOWN FAMILY PHYSICIAN
Primary location
103 S OWEN STREET
ELIZABETHTOWN, NC 28337
Phone: (910) 862-2900 Fax: (910) 862-2982
Mailing address
PO BOX 790
WHITEVILLE, NC 28472-0790
Phone: (910) 641-0400 Fax: (910) 642-5929
Organization Subpart
No
Authorized Official
RONALD COTTLE
PRESIDENT
Phone: (910) 862-2900
Updated
Identifiers

Identifiers for ELIZABETHTOWN FAMILY PHYSICIAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS OF NCNC017XT
MEDICAIDNC7924670
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
NC 30015

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.