RALEIGH DURHAM MEDICAL GROUP, PA (NPI# 1518335447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518335447 |
| Entity Type | Organization |
| Organization Name | RALEIGH DURHAM MEDICAL GROUP, PA |
| Other Organization Name | FAMILY CARE |
| Practice Address |
3164 Us Highway 70 Black Mountain NC 28711-6302 |
| Mailing Address |
5420 Wade Park Blvd Ste 106 Raleigh NC 27607-4188 |
| Practice Telephone | 8286694505 |
| Practice Fax Number | 8286695112 |
| Mailing Telephone | 9192335952 |
| Mailing Fax Number | 9198547774 |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |
| Authorized Official Name | DAVID MOYE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9198512174 |
| Is Organization Subpart | Y |
| Parent Organization Name | RALEIGH DURHAM MEDICAL GROUP, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Family Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720458326 | Raleigh Durham Medical Group, Pa | Nurse Practitioner | 4748 Main Street, Shallotte, NC 28470 | 2015-09-25 |
| 1437553302 | Raleigh Durham Medical Group, Pa | Family Medicine | 620 Dr Calvin Jones Highway, Ste 212, Wake Forest, NC 27587 | 2014-10-21 |
| 1891025243 | Raleigh Durham Medical Group, Pa | Family Medicine | 220 Ridgefield Ct, Asheville, NC 28806-2209 | 2010-01-07 |
| 1932661246 | Raleigh Durham Medical Group, Pa | Pediatrics | 8300 Health Park Ste 213, Raleigh, NC 27615-4731 | 2019-04-04 |
| 1013371061 | Raleigh Durham Medical Group, Pa | Physician Assistant | 410 Canterbury Rd, Smithfield, NC 27577-4861 | 2016-04-06 |
| 1902264435 | Raleigh Durham Medical Group, Pa | Physician Assistant | 10620 Park Rd, Suite 128, Charlotte, NC 28210-8472 | 2016-01-28 |
| 1023473519 | Raleigh Durham Medical Group, Pa | Nurse Practitioner | 304 S Green St, Morganton, NC 28655-3578 | 2015-12-28 |
| 1609248723 | Raleigh Durham Medical Group, Pa | Pediatrics | 10010 Falls of Neuse Rd, Ste 100, Raleigh, NC 27614-8494 | 2015-10-28 |
| 1407252505 | Raleigh Durham Medical Group, Pa | Family Medicine | 1038 Albemarle Rd, Troy, NC 27371-8684 | 2014-11-17 |
| 1023413523 | Raleigh Durham Medical Group, Pa | Internal Medicine | 5816 Creedmoor Rd, Ste 105, Raleigh, NC 27612-2310 | 2014-10-27 |
| Street Address |
3164 US HIGHWAY 70 |
| City | BLACK MOUNTAIN |
| State | NC |
| Zip Code | 28711-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093709131 | Jackson Randolph Dobbins | Physician Assistant | 3164 Us Highway 70, Black Mountain, NC 28711-6302 | 2005-09-06 |
| 1215488481 | Rdmg Associates Pa | Physician Assistant | 3164 Us Highway 70, Black Mountain, NC 28711-6302 | 2016-10-21 |
| 1598149775 | Kelli Banner | Registered Nurse | 3164 Us Highway 70, Black Mountain, NC 28711 | 2015-07-16 |
| 1225461205 | Drew David Schnyder P.a. | Family Medicine | 3164 Us Highway 70, Black Mountain, NC 28711-6302 | 2013-08-14 |
| 1164678017 | Jill Louise Kerik | Nurse Practitioner | 3164 Us Highway 70, Black Mountain, NC 28711-6302 | 2008-08-12 |
| 1588849350 | Jennifer M Smith | Nurse Practitioner | 3164 Us Highway 70, Black Mountain, NC 28711-6302 | 2007-12-29 |
| 1588854525 | Christy Rene Mccall | Nurse Practitioner | 3164 Us Highway 70, Black Mountain, NC 28711-6302 | 2007-07-26 |
| 1659402782 | Drew David Schnyder | Family Medicine | 3164 Us Highway 70, Black Mountain, NC 28711-6302 | 2007-03-08 |
| 1952317117 | Family Care Home Pa | Family Medicine | 3164 Us Highway 70, Black Mountain, NC 28711 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910978 | Kelsey Lauren Crabtree | Counselor | 9 Penelope Street, Black Mountain, NC 28711 | 2020-07-26 |
| 1053839068 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 540 Nc 9 Hwy, Black Mountain, NC 28711 | 2017-08-30 |
| 1487037495 | Marian Cook | Occupational Therapist | 611 Old Us Hwy 70e, Mountain Ridge Skilled Nursing, Black Mtn, NC 28711 | 2015-07-08 |
| 1457696361 | Black Mountain Physical Therapy, LLC | Clinic/Center | 997 W Old Us 70 Hwy, Black Mountain, NC 28711 | 2012-12-04 |
| 1982948550 | Givens Highland Farms, LLC | Skilled Nursing Facility | 200 Tabernacle Road, Black Mountain, NC 28711 | 2012-11-20 |
| 1639480312 | Kathleen Bradley Shannon | Counselor | 15 Jane Jacobs Rd Ste 102, Black Mountain, NC 28711 | 2010-06-28 |
| 1821117482 | Katherine Edwards Milam | Technician/Technologist | 145a Old Hwy 70 East, Black Mountain, NC 28711 | 2007-03-28 |
| 1932247079 | R. Bruce Kelly | Family Medicine | 932 Old Hwy 70 West, Black Mountain, NC 28711 | 2007-02-01 |
| 1275679474 | Black Mountain Neuro-medical Treatment Center | Skilled Nursing Facility | 932 Old Us 70, Black Mountain, NC 28711 | 2007-01-29 |
| 1992851331 | Julian F Keith Alcohol and Drug Abuse Treatment Center | Psychiatric Hospital | 201 Tabernacle Road, Black Mountain, NC 28711 | 2007-01-26 |
| Find all providers in zip 28711 | ||||
| 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 |
|---|---|---|---|---|
| 1386654960 | Lee Anne Jackson | Family Medicine | 997 Old Us Hwy 70, Suite A, Black Mountain, NC 28711 | 2006-08-08 |
| 1477563054 | Catherine Weir Hart | Family Medicine | 997 Old Highway 70, Suite A, Black Mountain, NC 28711 | 2006-08-08 |
| 1194786459 | Carol H Kaufman | Family Medicine | 201 Tabernacle Rd, Julian F. Keith Alcohol and Drug Abuse Treatment Center, Black Mountain, NC 28711-2526 | 2006-03-28 |
| 1225461205 | Drew David Schnyder P.a. | Family Medicine | 3164 Us Highway 70, Black Mountain, NC 28711-6302 | 2013-08-14 |
| 1518176080 | Dale Mabe | Family Medicine | 997 Old Highway 70 W, Black Mountain, NC 28711-2665 | 2007-05-22 |
| 1659402782 | Drew David Schnyder | Family Medicine | 3164 Us Highway 70, Black Mountain, NC 28711-6302 | 2007-03-08 |
| 1568472140 | Melissa Sue Fowler | Family Medicine | 997 Old Hwy 70, Suite A, Black Mountain, NC 28711 | 2006-08-08 |
| 1952317117 | Family Care Home Pa | Family Medicine | 3164 Us Highway 70, Black Mountain, NC 28711 | 2006-07-31 |
| 1346280807 | James Howard Early | Family Medicine | 997 Old Us Hwy 70 W Ste A, Black Mountain, NC 28711-4505 | 2006-06-06 |
| 1386682367 | East Asheville Family Health Care P.a. | Family Medicine | 997 Old Us Hwy 70 W Ste A, Black Mountain, NC 28711-4505 | 2006-06-03 |
| Find all providers in BLACK MOUNTAIN | ||||
| City | BLACK MOUNTAIN |
| Zip Code | 28711 |
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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.