PROVIDENCE FAMILY PRACTICE ASSOCIATES PA (NPI# 1528090388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528090388 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE FAMILY PRACTICE ASSOCIATES PA |
| Practice Address |
1043 Marguerite Drive Lowell NC 28098 |
| Practice Telephone | 7044786169 |
| Practice Fax Number | 7044786169 |
| Mailing Telephone | 7044786169 |
| Mailing Fax Number | 7044786169 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. TILDA ABERNATHY JONES (PRACTICE MANAGER) |
| Authorized Official Telephone | 7044786169 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 9501625 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890178L | 05 |
| Street Address |
1043 MARGUERITE DRIVE |
| City | LOWELL |
| State | NC |
| Zip Code | 28098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366677908 | Tarsheika Lashay Conner | Social Worker | 547 Riverview Drive, Lowell, NC 28098 | 2009-05-27 |
| 1295863264 | Next State Family Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1041 Ford Dr., Lowell, NC 28098 | 2007-03-01 |
| 1417293861 | Elizabeth Davis Clements | Counselor | 1101 N Main St, Lowell, NC 28098-1204 | 2012-12-12 |
| 1417395195 | Louverie Joy Rosana Caser | Physical Therapist | 803 N Main St, Lowell, NC 28098-1214 | 2013-06-04 |
| 1497982631 | Deborah Voorhis Snodgrass | Counselor | 804 N Main St, Lowell, NC 28098-1215 | 2009-06-15 |
| 1144840943 | Angela Marie Rasheed | Nurse Practitioner | 811 River Trail Rd, Lowell, NC 28098-1280 | 2020-04-21 |
| 1356949994 | Kristin M Colford | Behavior Technician | 1217 Catawba Run, Lowell, NC 28098-1508 | 2020-10-15 |
| 1285118307 | Christine Amelia Roberts | Day Training, Developmentally Disabled Services | 717 Dogwood St, Lowell, NC 28098-1608 | 2018-09-25 |
| 1871980938 | James Kiser | Registered Nurse | 711 Mcadenville Ave, Lowell, NC 28098-1645 | 2015-04-16 |
| 1811193881 | Amelia Holland Clemmons | Counselor | 418 S Church St, Lowell, NC 28098-1806 | 2007-06-26 |
| Find all providers in zip 28098 | ||||
| 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 |
|---|---|---|---|---|
| 1235411901 | Modern Care Medical Group, LLC | Family Medicine | 1075 Westford St, Suite 204, Lowell, MA 01851-2716 | 2011-09-19 |
| 1518173483 | Rhonald Myers Searcy | Family Medicine | 507 W Monroe Ave, Lowell, AR 72745-8909 | 2007-05-15 |
| 1316089147 | John T Smiley | Family Medicine | 325 South 6th Place, Lowell, AR 72745-9704 | 2007-02-12 |
| 1245323195 | Central Business Corporation | Family Medicine | 660 Middlesex St, Unit # 7, Lowell, MA 01851-1432 | 2006-10-02 |
| 1154431526 | Paul R Gauthier | Family Medicine | 2500 W Main St, Lowell, MI 49331-8695 | 2006-08-30 |
| 1831108430 | Mark F Olsen | Family Medicine | 212 W Monroe Ave Ste B, Lowell, AR 72745-9451 | 2006-08-05 |
| 1225083181 | Kathy L. Mayhew, D.o., Pa | Family Medicine | 213 W Monroe Ave, Suite P, Lowell, AR 72745-9451 | 2006-05-22 |
| 1922079219 | Donald Miller | Family Medicine | 17 Warren St, Lowell, MA 01852-2216 | 2006-01-27 |
| 1295715779 | Lowell Family Medical Center | Family Medicine | 2550 W Main St, Lowell, MI 49331-8695 | 2006-01-19 |
| 1104808138 | Austin John O'brien | Family Medicine | 595 Pawtucket Blvd. 2nd Fl, 2nd Floor, Lowell, MA 01852 | 2005-11-16 |
| Find all providers in LOWELL | ||||
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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.