RANDOLPH SPECIALTY GROUP PRACTICE (NPI# 1306262936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306262936 |
| Entity Type | Organization |
| Organization Name | RANDOLPH SPECIALTY GROUP PRACTICE |
| Other Organization Name | DBA: CREEKSIDE FAMILY PRACTICE |
| Practice Address |
9936 Us Highway 311 Archdale NC 27263-8826 |
| Mailing Address |
Po Box 5418 Asheboro NC 27204-5418 |
| Practice Telephone | 3368610640 |
| Practice Fax Number | 3368610641 |
| Mailing Telephone | 3366252333 |
| Mailing Fax Number | 3366255511 |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2015-02-06 |
| Authorized Official Name | ROBERT SCOTT CLAUSER (PRESIDENT) |
| Authorized Official Telephone | 3366252333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | NC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| DBA: Creekside Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629517909 | Randolph Specialty Group Practice | Physical Therapist | 310 S Middleton St, Robbins, NC 27325-8407 | 2017-02-20 |
| 1760716740 | Randolph Specialty Group Practice | Orthopaedic Surgery | 503 N Fayetteville St, Asheboro, NC 27203-4728 | 2009-09-24 |
| 1396971438 | Randolph Specialty Group Practice | Physical Therapist | 148 Pointe South Dr, Randleman, NC 27317-9520 | 2009-06-03 |
| 1134398431 | Randolph Specialty Group Practice | Physical Therapist | 701 Liberty St, Ramseur, NC 27316-9464 | 2008-02-21 |
| 1538684113 | Randolph Specialty Group Practice | Surgery | 132 W Miller St Ste C, Asheboro, NC 27203-4775 | 2017-08-04 |
| 1679019640 | Randolph Specialty Group Practice | Family Medicine | 600 W Salisbury St Ste B, Asheboro, NC 27203-5591 | 2017-01-13 |
| 1760930002 | Randolph Specialty Group Practice | Family Medicine | 629 Industrial Park Ave, Asheboro, NC 27205-7333 | 2016-09-15 |
| 1710385935 | Randolph Specialty Group Practice | Internal Medicine | 132 W Miller St, Suite C, Asheboro, NC 27203-4774 | 2014-12-22 |
| 1104247626 | Randolph Specialty Group Practice | Family Medicine | 600 W Salisbury St, Suite B, Asheboro, NC 27203-5590 | 2013-12-31 |
| 1932536596 | Randolph Specialty Group Practice | Clinic/Center | 191 Nc Highway 42 N, Suite F, Asheboro, NC 27203-7964 | 2013-09-27 |
| Street Address |
9936 US HIGHWAY 311 |
| City | ARCHDALE |
| State | NC |
| Zip Code | 27263-8826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548240997 | Hubert L Fiery | Family Medicine | 9936 Us Highway 311, Archdale, NC 27263-8826 | 2006-01-20 |
| 1144305475 | Saint Blaise Ear Nose and Throat Pa | Otolaryngology | 9936 Us Highway 311, Archdale, NC 27263-8826 | 2006-10-26 |
| 1942228333 | Julienne S. Connor | Physician Assistant | 9936 Us Highway 311, Archdale, NC 27263-8826 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639635725 | Home Care Premier Services, LLC | In Home Supportive Care | 10948e N. Main St, Archdale, NC 27263 | 2019-02-14 |
| 1740667807 | One Care Nc Inc | Home Health | 104418 North Main St, Archdale, NC 27263 | 2015-04-28 |
| 1720327968 | The Heag Pain Management Center Pa | Anesthesiology | 106 Baker Road, Archdale, NC 27263 | 2013-02-07 |
| 1548528177 | Christine Marie Enderlin | Counselor | 5373 Johnson Street, Archdale, NC 27263 | 2012-05-02 |
| 1922382654 | David Alan Rappaport | Pharmacist | 2850 South Main Street, Suite 101, High Point, NC 27263 | 2011-09-29 |
| 1508190430 | Carolina Drug of Randolph County LLC | Pharmacy | 10102 Unit S, South Main Street, Archdale, NC 27263 | 2009-09-24 |
| 1003064528 | Kenny Clinic of Chiropractic, P.a. | Chiropractor | 2400 S. Main St., High Point, NC 27263 | 2008-09-09 |
| 1689750234 | John David Ellington | Dentist | 3203 Archdale Rd, Archdale, NC 27263 | 2006-10-27 |
| 1831270214 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 2628 S. Main Street, High Point, NC 27263 | 2006-10-18 |
| 1639262488 | Earnst Clinic Inc | Chiropractor | 231 Baker Road, High Point, NC 27263 | 2006-10-02 |
| Find all providers in zip 27263 | ||||
| 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 |
|---|---|---|---|---|
| 1396049060 | Archdale Family Practice Pa | Family Medicine | 11635 N Main St Ste E, Archdale, NC 27263-3271 | 2011-01-10 |
| 1487604831 | Mark Craig Beck | Family Medicine | 11635 N Main St, Ste E, Archdale, NC 27263 | 2006-05-10 |
| 1548240997 | Hubert L Fiery | Family Medicine | 9936 Us Highway 311, Archdale, NC 27263-8826 | 2006-01-20 |
| 1437159118 | Bobby D Witten | Family Medicine | 10188 N Main St, Archdale, NC 27263-2906 | 2005-07-26 |
| 1013326834 | Wesley Turner | Family Medicine | 10188 N Main St, Archdale, NC 27263-2906 | 2014-08-06 |
| 1730203506 | Cornerstone Health Care LLC | Family Medicine | 10188 N Main St, Archdale, NC 27263-2906 | 2007-03-19 |
| 1174556021 | Richard Timothy Escajeda | Family Medicine | 10188 N Main St, Archdale, NC 27263-2906 | 2006-07-07 |
| 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 | ||||
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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.