PINE RIDGE OF SANFORD PRIMARY CARE PLLC (NPI# 1639540180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639540180 |
| Entity Type | Organization |
| Organization Name | PINE RIDGE OF SANFORD PRIMARY CARE PLLC |
| Practice Address |
3072 South Horner Blvd Sanford NC 27331 |
| Mailing Address |
Po Box 1163 Sanford NC 27331-1163 |
| Practice Telephone | 9195424550 |
| Mailing Telephone | 9195424450 |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |
| Authorized Official Name | DR. FRANKLIN HARGETT (VP OPERATIONS) |
| Authorized Official Telephone | 9195424450 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SANFORD SANDHILLS EMERGENCY PHYSICIAN, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
1471498 | NC | Ambulatory Health Care Facilities |
| Street Address |
3072 SOUTH HORNER BLVD |
| City | SANFORD |
| State | NC |
| Zip Code | 27331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609247006 | Pine Ridge Urgent Care and Occupational Medicine Center Pllc | Clinic/Center | 3072 South Horner Blvd, Sanford, NC 27331 | 2015-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730267105 | Liberty Healthcare Group, LLC | Hospice Care, Community Based | 1005 Carthage Street, Sanford, NC 27331-0066 | 2006-11-01 |
| 1851405294 | Kellers Nursing Home Inc | Custodial Care Facility | 700 Westover Dr, Sanford, NC 27331-0640 | 2006-08-19 |
| 1285743104 | Kellers Nursing Home Inc | Custodial Care Facility | 700 Westover Dr, Sanford, NC 27331-0640 | 2006-08-30 |
| 1205942067 | Kellers Nursing Home Inc | Custodial Care Facility | 700 Westover Dr, Sanford, NC 27331-0640 | 2006-08-22 |
| 1780912436 | Parkview In Home Aide Services | In Home Supportive Care | 620 Westover Drive, Sanford, NC 27331-4057 | 2009-11-18 |
| 1679687156 | Parkview In Home Aide Services Inc | In Home Supportive Care | 620 Westover Dr, Sanford, NC 27331-4057 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710710 | Sandra G Inkrote | Counselor | 2599 Lower Moncure Rd, Sanford, NC 27330-9221 | 2020-11-08 |
| 1255932588 | Gy Med Transport LLC | Non-emergency Medical Transport (VAN) | 1236 Old England Loop, Sanford, FL 32771-6581 | 2020-11-03 |
| 1932708625 | Margarita S Bejarano | Clinical Nurse Specialist | 3891 Kruger Rand Cv, Sanford, FL 32771-5816 | 2020-10-22 |
| 1992304810 | Miracle Taylor | Massage Therapist | 1818 Paloma Ave, Sanford, FL 32771-3584 | 2020-10-21 |
| 1013516251 | Meaningful Minds Counseling | Social Worker | 151 N Steele St, Sanford, NC 27330-3966 | 2020-10-20 |
| 1225637333 | Mcpc-8, LLC | Family Medicine | 3110 S Horner Blvd Ste 4&5, Sanford, NC 27332-8212 | 2020-10-20 |
| 1902404437 | Travita M Ramdin | Nurse Practitioner | 4800 Solara Cir Apt 4061, Sanford, FL 32771-0032 | 2020-10-16 |
| 1174121701 | Samantha Hamilton | Specialist/Technologist | 183 Summer Creek Ln, Sanford, NC 27332-6285 | 2020-10-15 |
| 1518565472 | Taylor-made Home Companion Care LLC | Home Health | 3746 Saltmarsh Loop, Sanford, FL 32773-7092 | 2020-10-13 |
| 1659978146 | Corrina Marie Kent | Registered Nurse | 254 Harry Howes Rd, Sanford, ME 04073-5434 | 2020-10-07 |
| Find all providers in SANFORD | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073712337 | Doctors Vital Care and Screening, Pllc | Clinic/Center | 150 N Steele St, Sanford, NC 27330-3918 | 2007-07-16 |
| 1528233012 | Carolina Medicine, P.C. | Clinic/Center | 310 Court Square, Sanford, NC 27330-5657 | 2008-04-25 |
| 1659571404 | Primary Care Associates of Florida LLC | Clinic/Center | 1403 Medical Plaza Dr, Suite 107, Sanford, FL 32771-1000 | 2007-07-20 |
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| 1851907604 | Primary Care of North Carolina Inc | Clinic/Center | 3500 Stonehaven Dr, Charlotte, NC 28215-3232 | 2020-09-17 |
| 1871119818 | Mymd Personal Family Care, Pllc | Clinic/Center | 110 W Wood Hill Dr Unit 108, Nags Head, NC 27959-9394 | 2020-06-24 |
| 1164042412 | Hometown Direct Primary Care Pllc | Clinic/Center | 332 N Brightleaf Blvd Ste C, Smithfield, NC 27577-4604 | 2020-04-16 |
| 1528619293 | Careatc | Clinic/Center | 3615 Whitehall Park Dr Ste G, Charlotte, NC 28273-4199 | 2019-09-24 |
| 1568021160 | Brighter Pathway To Healthcare | Clinic/Center | 2641 Cameron Woods Ln Apt Suite, Fayetteville, NC 28306-7700 | 2019-06-07 |
| 1467931584 | Healthworks Med Group of North Carolina P C | Clinic/Center | 112 Medical Village Dr Ste F, Wallace, NC 28466-1665 | 2018-08-09 |
| 1598257750 | Balsam Health of The Carolinas, Pllc | Clinic/Center | 607 W Grover St Ste 101, Shelby, NC 28150-2816 | 2018-06-04 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1194233403 | Futuremed Evening Clinic Pllc | Clinic/Center | 2003 Boulevard St Ste C, Greensboro, NC 27407-4579 | 2018-01-21 |
| 1356852511 | Grace Clinic of Yadkin Valley | Clinic/Center | 948 Johnson Ridge Rd, Elkin, NC 28621-0948 | 2017-10-16 |
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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.