THE CASWELL FAMILY MEDICAL CENTER, INC. (NPI# 1205486297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205486297 |
| Entity Type | Organization |
| Organization Name | THE CASWELL FAMILY MEDICAL CENTER, INC. |
| Other Organization Name | JAMES AUSTIN HEALTH CENTER |
| Practice Address |
207 E Meadow Rd Ste 6 Eden NC 27288-3469 |
| Mailing Address |
Po Box 1448 Yanceyville NC 27379-1448 |
| Practice Telephone | 3366941181 |
| Practice Fax Number | 3366944209 |
| Mailing Telephone | 3366941181 |
| Mailing Fax Number | 3366944209 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-17 |
| Authorized Official Name | WILLIAM CRUMPTON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3366941181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| James Austin Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144861337 | The Caswell Family Medical Center, Inc. | Clinic/Center | 649 Firetower Rd, Yanceyville, NC 27379 | 2019-09-30 |
| 1053848820 | The Caswell Family Medical Center, Inc. | Clinic/Center | 439 Us Highway 158 W, Suite B, Yanceyville, NC 27379-8304 | 2017-05-11 |
| Street Address |
207 E MEADOW RD STE 6 |
| City | EDEN |
| State | NC |
| Zip Code | 27288-3469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285693960 | Beth Ann Dekoninck | Nurse Practitioner | 207 E Meadow Rd Ste 6, Eden, NC 27288-3469 | 2006-03-21 |
| 1033693932 | Jason Christopher Vaughn | Nurse Practitioner | 207 E Meadow Rd Ste 6, Eden, NC 27288-3469 | 2018-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639781297 | Bailey Shea Scism | Pharmacist | 103 W Stadium Dr., Eden, NC 27288 | 2020-08-17 |
| 1538640628 | Donnell Corey Brown Jr. | Technician | 519 Orchard Drive, Eden, NC 27288 | 2018-08-27 |
| 1851728182 | Linda Mitchell | Physical Therapy Assistant | 114 E Kings Hwy, Eden, NC 27288 | 2013-10-01 |
| 1033341573 | Central State of The Carolinas, Inc. | Day Training, Developmentally Disabled Services | 229 Cedar St., Eden, NC 27288 | 2009-08-18 |
| 1114186483 | Enrich Cosmetic Center | Internal Medicine | 406 B Thompson St, Eden, NC 27288 | 2008-06-03 |
| 1265630891 | John R. Dabbs Jr. Dc PC | Preferred Provider Organization | 405 Boone Road, Eden, NC 27288 | 2007-07-05 |
| 1235283961 | James Harrison Eggleston | Dentist | 113 West Arbor Lane, Eden, NC 27288 | 2007-01-22 |
| 1962563940 | Barbara Collins Tanner | Nurse Practitioner | 134 North Pierce Street, Morehead High School Student Health Center, Eden, NC 27288 | 2006-12-13 |
| 1285690974 | Robert Maurice Vaughn | Chiropractor | 405 Boone Rd, Eden, NC 27288 | 2006-04-22 |
| 1619930666 | Direct Respiratory Services | Durable Medical Equipment & Medical Supplies | 302a North Pierce Street, Eden, NC 27288 | 2006-04-10 |
| Find all providers in zip 27288 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205375037 | Frontera Healthcare Network | Clinic/Center | 212 Jackson Street, Eden, TX 76837-0246 | 2017-02-13 |
| 1528258555 | Frontera Healthcare Network | Clinic/Center | 551 Eaker Street, Eden, TX 76837-0889 | 2007-07-26 |
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|---|---|---|---|---|
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| 1851909444 | Gaston Family Health Services, Inc. | Clinic/Center | 302 28th Ave Ne, Hickory, NC 28601-1116 | 2020-07-20 |
| 1750999496 | Gaston Family Health Services, Inc. | Clinic/Center | 180 War Eagle Dr, Mocksville, NC 27028-6151 | 2020-07-20 |
| 1518575265 | Gaston Family Health Services, Inc. | Clinic/Center | 4675 Oxford School Rd, Claremont, NC 28610-9468 | 2020-07-20 |
| 1124636873 | Gaston Family Health Services, Inc. | Clinic/Center | 451 Catawba Valley Blvd, Hickory, NC 28602-9631 | 2020-07-20 |
| 1093323099 | Gaston Family Health Services, Inc. | Clinic/Center | 5040 E Bandys Xrd, Catawba, NC 28609-8075 | 2020-07-16 |
| 1366088957 | Gaston Family Health Services, Inc. | Clinic/Center | 497 Farmington Rd, Mocksville, NC 27028-7639 | 2019-11-19 |
| 1285270868 | Gaston Family Health Services, Inc. | Clinic/Center | 160 Martin Luther King Junior Rd, Mocksville, NC 27028 | 2019-11-19 |
| 1306481957 | Gaston Family Health Services, Inc. | Clinic/Center | 3407 Plateau Rd, Newton, NC 28658-8809 | 2019-11-07 |
| Find all providers with the same taxonomy | ||||
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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.