SW DURHAM FAMILY MEDICINE – NPI #1295706133
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.

SW DURHAM FAMILY MEDICINE is a provider located in DURHAM, NC. NPPES has assigned the NPI number 1295706133 to SW DURHAM FAMILY MEDICINE on January 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SW DURHAM FAMILY MEDICINE” is a dba name, the actual legal business name for this organization is SOUTHWEST DURHAM FAMILY MEDICINE, PLLC. With multiple taxonomy codes selected, 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 4 years ago on Sep 21, 2022. 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 SW DURHAM FAMILY MEDICINE below.

NPI Profile for
SOUTHWEST DURHAM FAMILY MEDICINE, PLLC

NPI Number
1295706133
Enumeration Date

(more than 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
SOUTHWEST DURHAM FAMILY MEDICINE, PLLC
Doing Business As (dba): SW DURHAM FAMILY MEDICINE
Primary location
1515 W NC HWY 54
STE 130
DURHAM, NC 27707
Phone: (919) 419-0242 Fax: (919) 401-4172
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TIFFANY MARUM
MANAGING PHYSICIAN
Phone: (919) 419-0242
Updated
Certification Date
Sep 21, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SW DURHAM FAMILY MEDICINE

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
otherBLUE CROSS BLUE SHIELDNC017RT
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 200300258
207R00000X
- Internal Medicine
NC 9700021

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.