UNC PHYSICIANS NETWORK GROUP PRACTICES, LLC (NPI# 1598160822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598160822 |
| Entity Type | Organization |
| Organization Name | UNC PHYSICIANS NETWORK GROUP PRACTICES, LLC |
| Other Organization Name | CLINTON MEDICAL CLINIC |
| Practice Address |
403 Fairview St Clinton NC 28328-2311 |
| Mailing Address |
2000 Perimeter Park Dr Ste 200 Morrisville NC 27560-8442 |
| Practice Telephone | 9105926011 |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2019-08-14 |
| Authorized Official Name | LYNNE CHRISTINE FISCUS (CMO) |
| Authorized Official Telephone | 9842154111 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | NC | Allopathic & Osteopathic Physicians | |
| N | 363A00000X | Physician Assistant | NC | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363L00000X | Nurse Practitioner | NC | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207Q00000X | Family Medicine | NC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Clinton Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881244168 | Unc Physicians Network Group Practices, LLC | Podiatrist | 1505 Sw Cary Pkwy Ste 200, Cary, NC 27511-6219 | 2019-09-18 |
| 1669022950 | Unc Physicians Network Group Practices, LLC | Podiatrist | 501 Health Park Dr Ste 180, Garner, NC 27529-7051 | 2019-09-18 |
| 1861042152 | Unc Physicians Network Group Practices, LLC | Podiatrist | 6602 Knightdale Blvd Ste 203, Knightdale, NC 27545-6567 | 2019-09-18 |
| 1275872905 | Unc Physicians Network Group Practices, LLC | Clinical Medical Laboratory | 8300 Health Park Dr., Suite #320, Raleigh, NC 27615-4731 | 2013-01-31 |
| 1780234070 | Unc Physicians Network Group Practices, LLC | Podiatrist | 501 Health Park Dr Ste 180, Garner, NC 27529-7051 | 2019-09-18 |
| 1053973354 | Unc Physicians Network Group Practices, LLC | Podiatrist | 8305 Falls of Neuse Rd Ste 100, Raleigh, NC 27615-3546 | 2019-07-08 |
| 1992192694 | Unc Physicians Network Group Practices, LLC | Family Medicine | 801 Poole Dr, Garner, NC 27529-5207 | 2015-04-20 |
| 1780019661 | Unc Physicians Network Group Practices, LLC | Internal Medicine | 2417 Atrium Dr, Suite 250, Raleigh, NC 27607-6673 | 2013-09-10 |
| 1023357761 | Unc Physicians Network Group Practices, LLC | Internal Medicine | 8300 Health Park, Suite #309, Raleigh, NC 27615-4730 | 2013-01-31 |
| 1013256759 | Unc Physicians Network Group Practices, LLC | Clinical Medical Laboratory | 3948 Browning Pl, Suite #103, Raleigh, NC 27609-6510 | 2013-01-31 |
| Street Address |
403 FAIRVIEW ST |
| City | CLINTON |
| State | NC |
| Zip Code | 28328-2311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417941626 | Linda Alphin Heath | Nurse Practitioner | 403 Fairview St, Clinton, NC 28328-2311 | 2005-09-01 |
| 1770138984 | Cmc Geriatric Services | Family Medicine | 403 Fairview St, Clinton, NC 28328-2399 | 2019-08-05 |
| 1124557616 | Sharry Jackson Malpass | Nurse Practitioner | 403 Fairview St, Clinton, NC 28328-2399 | 2017-06-08 |
| 1164969614 | Carrie L Green | Physician Assistant | 403 Fairview St, Clinton, NC 28328-2399 | 2017-01-23 |
| 1871976845 | Ashley Leeann Tuttle | Nurse Practitioner | 403 Fairview St, Clinton, NC 28328-2311 | 2015-07-08 |
| 1679956882 | Alix Caitlin Cottle | Nurse Practitioner | 403 Fairview St, Clinton, NC 28328-2399 | 2015-07-07 |
| 1811305923 | Karen Ryman Bradfield | Nurse Practitioner | 403 Fairview St, Clinton, NC 28328-2399 | 2014-08-01 |
| 1164793576 | Unc Physicians Network, LLC | Pediatrics | 403 Fairview St, Clinton, NC 28328-2311 | 2012-01-17 |
| 1548405962 | Crystal Gillis | Registered Nurse | 403 Fairview St, Clinton, NC 28328-2311 | 2008-12-15 |
| 1447381959 | Tanya Sue Todd | Physician Assistant | 403 Fairview St, Clinton, NC 28328-2399 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326470741 | Ashley Brown Spell | Pharmacist | 607 Beamen St, Clinton, NC 28328 | 2013-08-08 |
| 1225315666 | Southeastern Medical Oncology Center | Internal Medicine | 211 Beaman Street, Clinton, NC 28328 | 2011-11-14 |
| 1558686386 | Keith S Kinsley | Chiropractor | 346a Northeast Blvd, Clinton, NC 28328 | 2010-04-05 |
| 1417123159 | Family First Support Center Inc | Community/Behavioral Health | 707 College St, Clinton, NC 28328 | 2008-05-02 |
| 1891985123 | The Lawsons House | Residential Treatment Facility, Emotionally Disturbed Children | 790 Corwallis Road, Teachey, NE 28328 | 2007-08-01 |
| 1053519827 | Ronald H Honeycutt | Dentist | 705 Beaman Street, Clinton, NC 28328 | 2007-07-03 |
| 1265558134 | Alternative Care Treatments Systems, Inc-clinton | Community/Behavioral Health | 207a West Main Street, Clinton, NC 28328 | 2007-03-22 |
| 1851444764 | Tara Cotton | Counselor | 302 Turlington Street, Clinton, NC 28328 | 2007-01-22 |
| 1750460952 | Sophia B Pierce & Associates Inc | Non-emergency Medical Transport (VAN) | 112 Royal Lane, Clinton, NC 28328 | 2006-11-06 |
| 1790867158 | Michelle Sessoms Simmons | Nurse Practitioner | 360 County Complex Road, (sampson County Health Department), Clinton, NC 28328 | 2006-10-19 |
| Find all providers in zip 28328 | ||||
| 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 |
|---|---|---|---|---|
| 1689217978 | Springridge Medical Clinic | Family Medicine | 507 Springridge Rd Ste A, Clinton, MS 39056-5628 | 2019-10-20 |
| 1578125837 | Dana Fuller | Family Medicine | 600 Plaza Cir, Clinton, SC 29325-7555 | 2019-07-07 |
| 1477057966 | Strong Health & Wellness Center, LLC | Family Medicine | 130 Fairmont St Ste B, Clinton, MS 39056-4714 | 2018-03-20 |
| 1841650348 | St. Luke's Warren Physician Group, PC | Family Medicine | 22 Walmart Plaza, Clinton, NJ 08809 | 2016-02-26 |
| 1851762173 | Olive Tree Medical Associates Pllc | Family Medicine | 7505 Foote Rd, Clinton, NY 13323-3403 | 2015-10-13 |
| 1356789341 | Clinton Hmpn, LLC | Family Medicine | 129 S. 9th Street, Clinton, OK 73601 | 2013-06-12 |
| 1437458601 | Sally A Goodwin | Family Medicine | 3677 Woodland Hall Ln, Clinton, WA 98236-8628 | 2011-03-27 |
| 1578886610 | University Health System, Inc | Family Medicine | 2681 Andersonville Hwy, Ste 102, Clinton, TN 37716-6706 | 2010-03-03 |
| 1720313075 | Eva Cesnek Novak | Family Medicine | 54 Old Route 22, Clinton, NJ 08809-4137 | 2009-10-05 |
| 1437388055 | Scott Chasley Martin | Family Medicine | 732 Clinton Pkwy, Clinton, MS 39056-5227 | 2009-07-02 |
| Find all providers in CLINTON | ||||
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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.