PRIMARY CARE OF ST. PAULS, LLC – NPI #1699960302
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.

PRIMARY CARE OF ST. PAULS, LLC is a provider located in SAINT PAULS, NC. NPPES has assigned the NPI number 1699960302 to PRIMARY CARE OF ST. PAULS, LLC on September 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 Aug 09, 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 PRIMARY CARE OF ST. PAULS, LLC below.

NPI Profile for
PRIMARY CARE OF ST. PAULS, LLC

NPI Number
1699960302
Enumeration Date

(about 19 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
PRIMARY CARE OF ST. PAULS, LLC
Primary location
122 EAST BLUE STREET
SAINT PAULS, NC 28384
Phone: (910) 865-5177 Fax: (910) 865-9400
Mailing address
P O BOX 9940
FAYETTEVILLE, NC 28311-9940
Phone: (910) 865-5177 Fax: (910) 865-9400
Organization Subpart
Yes - PRIMARY CARE OF ST. PAULS, LLC is subpart of another organization.
Authorized Official
MOHAMED OSMAN
OWNER
Phone: (910) 865-5177
Updated
Identifiers

Identifiers for PRIMARY CARE OF ST. PAULS, LLC

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
MEDICAIDNC5900350
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)

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.