RANDOLPH PRIMARY CARE, PA – NPI #1528392289
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

RANDOLPH PRIMARY CARE, PA is a provider located in ASHEBORO, NC. NPPES has assigned the NPI number 1528392289 to RANDOLPH PRIMARY CARE, PA on September 29, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 11 years ago on Mar 31, 2015. 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 RANDOLPH PRIMARY CARE, PA below.

NPI Profile for
RANDOLPH PRIMARY CARE, PA

NPI Number
1528392289
Enumeration Date

(more than 16 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
RANDOLPH PRIMARY CARE, PA
Primary location
350 N COX ST STE 6
ASHEBORO, NC 27203-5514
Phone: (336) 629-2201 Fax: (336) 629-2205
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SAAD AMIN
PRESIDENT & PROVIDER
Phone: (336) 629-2201
Updated
Identifiers

Identifiers for RANDOLPH PRIMARY CARE, PA

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
MEDICAIDNC5913171
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
208D00000X
- General Practice (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.