CALABASH PRIMARY CARE LLC (NPI# 1528139987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528139987 |
| Entity Type | Organization |
| Organization Name | CALABASH PRIMARY CARE LLC |
| Practice Address |
10195 Beach Dr Sw # 5 Calabash NC 28467-2701 |
| Practice Telephone | 9105756538 |
| Practice Fax Number | 9105756541 |
| Mailing Telephone | 9105756538 |
| Mailing Fax Number | 9105756541 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2009-06-04 |
| Authorized Official Name | CATHY SELLERS SR. (OWNER) |
| Authorized Official Telephone | 9105756538 |
| Authorized Official Credential | NURSE PRACTICION |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 27331 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 201575 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | 27938 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 098806 | 05 | |
| NC | BLUE CROSS & BLUE SHIELD | 10048 | 01 |
| NC | 89131FG | 05 | |
| NC | MEDICARE | 203024 | 01 |
| NC | 8950904 | 05 | |
| NC | RAILROAD MEDICARE | DB2289 | 01 |
| Street Address |
10195 BEACH DR SW # 5 |
| City | CALABASH |
| State | NC |
| Zip Code | 28467-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548239692 | Cathy Marie Sellers | Nurse Practitioner | 10195 Beach Dr Sw # 5, Calabash, NC 28467-2701 | 2006-03-14 |
| 1124035928 | Brent L Perkins | Physician Assistant | 10195 Beach Dr Sw # 5, Calabash, NC 28467-2701 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578052098 | Felicia Lavern Gore | Adult Companion | 330 Treeacres Circle Nw, Calabash, NC 28467 | 2018-05-10 |
| 1063914000 | Connor David Price | Occupational Therapist | 9600 Number 5 School Road Northwest, Calabash, NC 28467 | 2018-03-06 |
| 1508115569 | Edward Ragland Thomas Iv | Pharmacist | 10227 Beach Drive Sw, Calabash, NC 28467 | 2012-09-06 |
| 1194941286 | Calabash Family Pharmacy Inc | Pharmacy | 10080 Beach Drive Sw, Calabash, NC 28467 | 2007-04-17 |
| 1639210529 | Forever Yours, Inc | Durable Medical Equipment & Medical Supplies | 262 Koolabrew Drive, Calabash, NC 28467 | 2007-02-12 |
| 1629123807 | Thomas Drugs Inc | Durable Medical Equipment & Medical Supplies | 10227 Beach Drive, Calabash, NC 28467 | 2007-01-25 |
| 1417027046 | Pamela C Neves | Counselor | Old Georgetown Centre Hwy 179, Suite 9, Calabash, NC 28467 | 2006-11-09 |
| 1164533493 | David Philip Deeb | Dentist | 10271 Beach Dr Sw, Calabash, NC 28467 | 2006-08-31 |
| 1144331471 | Deeb & Fanning Dds Pa | Dentist | 10271 Beach Drive Sw, Calabash, NC 28467 | 2006-08-31 |
| 1588770002 | Ted Hadley Sanders | Dentist | 9220-1 Beach Dr Sw, Calabash, NC 28467 | 2006-08-21 |
| Find all providers in zip 28467 | ||||
| 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 |
|---|---|---|---|---|
| 1285817684 | Intramed Family Practice & Urgent Care Pa | Family Medicine | 602 Thomasboro Rd Sw, Calabash, NC 28467-2155 | 2007-12-10 |
| 1124164637 | Wilmington Medical Group Pa | Family Medicine | 602 Thomasboro Rd, Calabash, NC 28467-2155 | 2007-01-30 |
| 1124078217 | Cynthia Hadley | Family Medicine | 2134 Kilkee Dr, Calabash, NC 28467-1759 | 2006-05-11 |
| 1841325032 | George L. Saunders, Md, Pa | Family Medicine | 602 Thomasboro Road, Calabash, NC 28467-9820 | 2007-02-21 |
| 1285635219 | Calabash Medical Center,pa | Family Medicine | 10081 Beach Dr Sw, Calabash, NC 28467-2713 | 2005-08-01 |
| 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.