SAMPSON REGIONAL PROFESSIONAL SERVICES LLC (NPI# 1073749131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073749131 |
| Entity Type | Organization |
| Organization Name | SAMPSON REGIONAL PROFESSIONAL SERVICES LLC |
| Other Organization Name | PRIORITY CARE |
| Practice Address |
522 Beaman St Clinton NC 28328-2602 |
| Mailing Address |
Po Box 890315 Charlotte NC 28289-0315 |
| Practice Telephone | 9105964262 |
| Practice Fax Number | 9105925461 |
| Mailing Telephone | 9105928511 |
| Mailing Fax Number | 9105925461 |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2011-01-06 |
| Authorized Official Name | MR. GERALD HEINZMAN (VP/CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9105928511 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAMPSON REGIONAL PROFESSIONAL SERVICES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
99999 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Priority Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619251766 | Sampson Regional Professional Services LLC | Clinic/Center | 301 Main St, Newton Grove, NC 28366-7723 | 2011-10-07 |
| 1760706154 | Sampson Regional Professional Services LLC | Obstetrics & Gynecology | 603 Beaman St, Suite 501, Clinton, NC 28328-2650 | 2010-03-15 |
| 1710209234 | Sampson Regional Professional Services LLC | Physician Assistant | 1004 Beaman St, Clinton, NC 28328-2329 | 2010-02-25 |
| Street Address |
522 BEAMAN ST |
| City | CLINTON |
| State | NC |
| Zip Code | 28328-2602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225097496 | Timothy Ted Smith | Family Medicine | 522 Beaman St, Clinton, NC 28328-2602 | 2006-03-17 |
| 1396768396 | Faye F. Warren | Nurse Practitioner | 522 Beaman St, Clinton, NC 28328-2602 | 2006-07-25 |
| 1891716379 | John-mark Mark Miller | Family Medicine | 522 Beaman St, Clinton, NC 28328 | 2006-07-21 |
| 1477508612 | Sampson Medical Clinic, Inc. | Family Medicine | 522 Beaman St, Clinton, NC 28328-2602 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326470741 | Ashley Brown Spell | Pharmacist | 607 Beamen St, Clinton, NC 28328 | 2013-08-08 |
| 1225315666 | Southeastern Medical Oncology Center | Internal Medicine | 211 Beaman Street, Clinton, NC 28328 | 2011-11-14 |
| 1558686386 | Keith S Kinsley | Chiropractor | 346a Northeast Blvd, Clinton, NC 28328 | 2010-04-05 |
| 1417123159 | Family First Support Center Inc | Community/Behavioral Health | 707 College St, Clinton, NC 28328 | 2008-05-02 |
| 1891985123 | The Lawsons House | Residential Treatment Facility, Emotionally Disturbed Children | 790 Corwallis Road, Teachey, NE 28328 | 2007-08-01 |
| 1053519827 | Ronald H Honeycutt | Dentist | 705 Beaman Street, Clinton, NC 28328 | 2007-07-03 |
| 1265558134 | Alternative Care Treatments Systems, Inc-clinton | Community/Behavioral Health | 207a West Main Street, Clinton, NC 28328 | 2007-03-22 |
| 1851444764 | Tara Cotton | Counselor | 302 Turlington Street, Clinton, NC 28328 | 2007-01-22 |
| 1750460952 | Sophia B Pierce & Associates Inc | Non-emergency Medical Transport (VAN) | 112 Royal Lane, Clinton, NC 28328 | 2006-11-06 |
| 1790867158 | Michelle Sessoms Simmons | Nurse Practitioner | 360 County Complex Road, (sampson County Health Department), Clinton, NC 28328 | 2006-10-19 |
| Find all providers in zip 28328 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463300 | Sheryl Punzal Deguzman-buenaventura | Nurse Practitioner | 12410 Hillantrae Dr, Clinton, MD 20735-6510 | 2020-09-25 |
| 1003426396 | Rollie Stewart Walker | Nurse Practitioner | 114 Riverview Dr, Clinton, OK 73601-1805 | 2020-08-03 |
| 1316585813 | Sherkeysha Henderson | Nurse Practitioner | 106 Rosalie Ct, Clinton, MS 39056-6053 | 2019-12-16 |
| 1528600707 | Allison Maddox | Nurse Practitioner | 7506 Abelia Dr, Clinton, MD 20735-3135 | 2019-10-09 |
| 1205486347 | Elizabeth Oti | Nurse Practitioner | 313 Park Edge Dr, Clinton, PA 15026-1785 | 2019-09-19 |
| 1326609074 | Lauren Blakley | Nurse Practitioner | 2130 N Charles G Seivers Blvd Ste 3, Clinton, TN 37716-6705 | 2019-06-24 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1205490380 | Cynthia Diane Saylors | Nurse Practitioner | 64 Somerset Dr, Clinton, IL 61727-2478 | 2019-04-24 |
| 1720546864 | Lesley Brooke Keith | Nurse Practitioner | 422 Highway 95 E, Clinton, AR 72031-6947 | 2019-03-07 |
| 1578020822 | Caroline V Green | Nurse Practitioner | 768 Cherry Stone Dr, Clinton, MS 39056-2015 | 2019-02-22 |
| Find all providers in CLINTON | ||||
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| 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.