CAROMONT- SOUTH POINT LLC (NPI# 1609057629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609057629 |
| Entity Type | Organization |
| Organization Name | CAROMONT- SOUTH POINT LLC |
| Other Organization Name | SOUTH POINT FAMILY PRACTICE |
| Practice Address |
1220 Spruce St Belmont NC 28012-3370 |
| Practice Telephone | 7048255333 |
| Practice Fax Number | 7048251751 |
| Mailing Telephone | 7048255333 |
| Mailing Fax Number | 7048251751 |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2015-06-10 |
| Authorized Official Name | DOUGLAS LUCKETT (PRESIDENT, CEO) |
| Authorized Official Telephone | 7048342133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5905651 | 05 |
| Other Name | Type Code |
|---|---|
| South Point Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932388568 | Caromont- South Point LLC | Family Medicine | 159 E Dallas Rd, Stanley, NC 28164-2052 | 2007-10-31 |
| 1891882551 | Caromont- South Point LLC | Family Medicine | 1220 Spruce St, Belmont, NC 28012-3370 | 2006-10-06 |
| Street Address |
1220 SPRUCE ST |
| City | BELMONT |
| State | NC |
| Zip Code | 28012-3370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770545428 | David Rinehart | Family Medicine | 1220 Spruce St, Belmont, NC 28012-3370 | 2006-04-06 |
| 1891325593 | Holly Layne Faux | Nurse Practitioner | 1220 Spruce St, Belmont, NC 28012-3370 | 2020-01-22 |
| 1487193322 | Amber Dean Race | Physician Assistant | 1220 Spruce St, Belmont, NC 28012 | 2017-02-13 |
| 1922495449 | Amanda Jill Davis | Hearing Instrument Specialist | 1220 Spruce St, Belmont, NC 28012-3370 | 2015-04-22 |
| 1619366275 | Linda Camarda | Hearing Instrument Specialist | 1220 Spruce St, South Point Family Practice - Miracle-ear, Belmont, NC 28012-3370 | 2015-01-20 |
| 1972992030 | Kathryn Dare Mccurry | Physician Assistant | 1220 Spruce St, Belmont, NC 28012-3370 | 2015-01-13 |
| 1750709424 | Jessica R. Kafer | Family Medicine | 1220 Spruce St, Belmont, NC 28012-3370 | 2014-03-31 |
| 1265722318 | Caromont Medical Group, Inc. | Family Medicine | 1220 Spruce St, Belmont, NC 28012-3370 | 2011-04-11 |
| 1700086006 | Chase C Fuller | Physician Assistant | 1220 Spruce St, Belmont, NC 28012-3370 | 2007-07-24 |
| 1629271440 | Caroline D. Stephens | Family Medicine | 1220 Spruce St, Belmont, NC 28012-3370 | 2007-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902447873 | Lisa Emi Mclemore | Technician | 704 Armstrong Rd, Belmont, NC 28012 | 2019-10-02 |
| 1902453244 | Eli Zipkin | Dentist | 965 South Point Road, Belmont, NC 28012 | 2019-08-21 |
| 1457879892 | Sharon H Miller | Acupuncturist | 684 Park St, Belmont, NC 28012 | 2017-09-06 |
| 1083138242 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 905 South Point Rd, Belmont, NC 28012 | 2017-07-31 |
| 1285079533 | Edoardo Pate | Chiropractor | 6021 W Wilkinson Blvd, Belmont, NC 28012 | 2013-04-30 |
| 1023367430 | Abby C Blowe Dds Pa | Dentist | 8024 Water View Drive, Belmont, NC 28012 | 2012-08-30 |
| 1972885598 | Michelle Marie Watkins | Counselor | 32 N Main St Ste 204, Belmont, NC 28012 | 2011-09-10 |
| 1598050791 | Lauren Swafford | Pharmacist | 6750 Wilkinson Boulevard, Belmont, NC 28012 | 2011-06-15 |
| 1316264831 | Evelyn Maiers Bailey | Respiratory Therapist, Certified | 230 River Loop Rd, Belmont, NC 28012 | 2010-04-23 |
| 1376866079 | Metrolina Psychotherapy Associates P.a. | Social Worker | 1212 Spruce St., Suite 315, Belmont, NC 28012 | 2010-03-09 |
| Find all providers in zip 28012 | ||||
| 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 |
|---|---|---|---|---|
| 1548777808 | David Keith Roae | Family Medicine | Po Box 153, Belmont, NY 14813-0153 | 2018-01-08 |
| 1124353164 | R.c. Aizcorbe Md Pa | Family Medicine | 684 Park Street, Belmont, NC 28012 | 2009-10-08 |
| 1790913853 | Stella Kinyota | Family Medicine | 316 Waverley St, Belmont, MA 02478-2422 | 2009-06-29 |
| 1699918326 | Senter Medical Clinic, PC | Family Medicine | 26 3rd Street, Belmont, MS 38827-0549 | 2009-04-10 |
| 1063650695 | Suzanne Johannet | Family Medicine | 45 Warwick Rd, Belmont, MA 02478-2840 | 2009-02-04 |
| 1093991457 | Family Physicians-dr Phillip J Gaca PC | Family Medicine | 6265 West River Dr Ne, Belmont, MI 49306-9078 | 2008-01-16 |
| 1902826951 | Senter Medical Clinic, PC | Family Medicine | 26 Third Street, Belmont, MS 38827 | 2006-07-20 |
| 1770545428 | David Rinehart | Family Medicine | 1220 Spruce St, Belmont, NC 28012-3370 | 2006-04-06 |
| 1467422600 | Christopher J Almeida | Family Medicine | 73 Daniel Webster Hwy, Belmont, NH 03220-3028 | 2006-01-23 |
| 1558343392 | Stephen K Senter | Family Medicine | 26 3rd St, Belmont, MS 38827-7737 | 2005-11-17 |
| Find all providers in BELMONT | ||||
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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.