SOUTHERN CLINICS AND URGENT CARE PA (NPI# 1134108905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134108905 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CLINICS AND URGENT CARE PA |
| Practice Address |
502 W King St Ll 20 Kings Mountain NC 28086-3362 |
| Mailing Address |
Po Box 550490 Gastonia NC 28055-0490 |
| Practice Telephone | 7048652755 |
| Practice Fax Number | 7048655013 |
| Mailing Telephone | 7048652755 |
| Mailing Fax Number | 7048655013 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. AUGUSTINE R EZE (PRESIDENT) |
| Authorized Official Telephone | 7048652755 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
502 W KING ST LL 20 |
| City | KINGS MOUNTAIN |
| State | NC |
| Zip Code | 28086-3362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962497537 | Temidayo A Adelekun | Internal Medicine | 502 W King St, Ll#20, Kings Mountain, NC 28086-3362 | 2005-09-20 |
| 1376158451 | Luisa Fernanda Morales | Social Worker | 502 W King St, Kings Mountain, NC 28086-3362 | 2020-09-15 |
| 1225649536 | Gaston Family Health Services, Inc. | Clinic/Center | 502 W King St, Kings Mountain, NC 28086-3362 | 2020-08-11 |
| 1235545658 | Hazel Freida Mitchell | Nurse Practitioner | 502 W King St, Kings Mountain, NC 28086-3362 | 2014-07-07 |
| 1447585542 | Cleveland Health Ventures LLC | Internal Medicine | 502 W King St, Suite A, Kings Mountain, NC 28086-3362 | 2009-10-07 |
| 1396070652 | Cleveland Health Ventures LLC | Internal Medicine | 502 W King St, Suite B, Kings Mountain, NC 28086-3362 | 2009-10-05 |
| 1245426667 | Christian G Anderson Md Pa | Internal Medicine | 502 W King St, Suite 100, Kings Mountain, NC 28086-3362 | 2007-09-19 |
| 1528085313 | Orthocarolina | Orthopaedic Surgery | 502 W King St, Suite 100-c, Kings Mountain, NC 28086-3362 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609252493 | Mary Elizabeth Mann | Speech-Language Pathologist | 1563 Lewis Farm Rd, Kings Mountain, NC 28086 | 2015-08-04 |
| 1831404847 | Sandra Shuford Satterfield | Nurse Practitioner | 500 Phifer Road, Kings Mountain, NC 28086 | 2010-08-13 |
| 1821317868 | Crawley Memorial Hospital Inc | Long Term Care Hospital | 706 West King Street, Kings Mountain, NC 28086 | 2010-05-28 |
| 1639408248 | Self-determination LLC | Clinic/Center | 103 Ebenezer Rd, Kings Mtn, NC 28086 | 2009-12-09 |
| 1770731515 | Ingles Markets Inc | Pharmacy | 2111 Shelby Rd, Kings Mountain, NC 28086 | 2008-09-05 |
| 1659553832 | Jerry Marvin Utt | Social Worker | 301 East Parker Street, Kings Mountain, NC 28086 | 2007-11-29 |
| 1518087766 | Educare Community Living Corporation - North Carolina | Community/Behavioral Health | 112 Wooding Pl, Kings Mountain, NC 28086 | 2007-03-30 |
| 1093831679 | Mark David Lovelace | Pharmacist | 1114 West Gold Street, Extension, Kings Mountain, NC 28086 | 2007-03-22 |
| 1417016023 | Acrolyst Physician Resources | Internal Medicine | 827 E King Street, Kings Mountain, NC 28086 | 2006-12-08 |
| 1730248865 | Kmeg Resource Corp Pa | Internal Medicine | 827 East King Street, Kings Mtn, NC 28086 | 2006-12-06 |
| Find all providers in zip 28086 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194875765 | Kings Clinic and Urgent Care Pllc | Family Medicine | 407 W. King Street, Suite 20, Kings Mountain, NC 28086-3345 | 2007-01-12 |
| 1124199229 | Deepak Ramchandra Gelot. | Family Medicine | 707 W King St, Kings Mountain, NC 28086-2707 | 2006-11-11 |
| 1558315721 | Katay C Bouttamy | Family Medicine | 827 E King St, Kings Mountain, NC 28086-3186 | 2006-05-20 |
| 1841257540 | James Mitchell Costner | Family Medicine | 214 Cleveland Ave, Kings Mountain, NC 28086-3106 | 2006-04-27 |
| 1972024354 | Rdmg Associates, Pa | Family Medicine | 827 E King St, Kings Mountain, NC 28086-3186 | 2017-07-06 |
| 1225211006 | Carley Family Care Pa | Family Medicine | 827 E King St, Kings Mountain, NC 28086-3186 | 2007-12-14 |
| 1578742177 | Caromont Medical Group Inc | Family Medicine | 214 Cleveland Ave, Kings Mountain, NC 28086-3106 | 2007-10-31 |
| 1265523005 | Jeffrey P Carley | Family Medicine | 827 E King St, Kings Mountain, NC 28086-3186 | 2006-09-27 |
| 1154340537 | Julia K Saluke | Family Medicine | 214 Cleveland Ave, Kings Mountain, NC 28086-3106 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586581 | Fhpg, LLC | Family Medicine | 1690 Us Highway 1 S Ste 200, Southern Pines, NC 28387-7037 | 2020-10-22 |
| 1225637333 | Mcpc-8, LLC | Family Medicine | 3110 S Horner Blvd Ste 4&5, Sanford, NC 27332-8212 | 2020-10-20 |
| 1740889864 | Mcpc-8, LLC | Family Medicine | 1690 Us Highway 1 S Ste 100, Southern Pines, NC 28387-7037 | 2020-10-20 |
| 1851999882 | Integrative Wellness Partners, Inc | Family Medicine | 3555 Hansa Dr, Castle Hayne, NC 28429-5863 | 2020-10-12 |
| 1124625504 | Tiffany Anne Swanson | Family Medicine | 405 Climax St, Graham, NC 27253-1608 | 2020-10-08 |
| 1235745985 | Alegis Care - North Carolina PC | Family Medicine | 11016 Rushmore Dr Ste 300, Charlotte, NC 28277-3651 | 2020-09-18 |
| 1902411077 | Carolina Medical Partners Pllc | Family Medicine | 10535 Flennigan Way, Charlotte, NC 28277-1417 | 2020-09-15 |
| 1558975433 | Kerr Area Rural Medical Alliance Pllc | Family Medicine | 266 Raymond Tharrington Rd, Louisburg, NC 27549-9687 | 2020-09-08 |
| 1083226906 | Relymd Medical Group Nc, Pllc | Family Medicine | 212 S Tryon St Ste 1000, Charlotte, NC 28281-0001 | 2020-08-21 |
| 1184233884 | Brittany Joyce Mcneil | Family Medicine | 1010 S 16th St, Wilmington, NC 28401-8018 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | KINGS MOUNTAIN |
| Zip Code | 28086 |
Please comment or provide details below to improve the information on SOUTHERN CLINICS AND URGENT CARE PA.
| 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.