PRIMARY & IMMEDIATE CARE OF THE PINES, LLC (NPI# 1699273219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699273219 |
| Entity Type | Organization |
| Organization Name | PRIMARY & IMMEDIATE CARE OF THE PINES, LLC |
| Practice Address |
211 Bonnie Brook Rd Aberdeen NC 28315 |
| Mailing Address |
211 Bonnie Brook Rd Aberdeen NC 28315-3125 |
| Practice Telephone | 9107160099 |
| Practice Fax Number | 9104051359 |
| Mailing Telephone | 9107160099 |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-07-30 |
| Authorized Official Name | BERTHA TAYLOR-MILLER (NP) |
| Authorized Official Telephone | 9107160099 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
211 BONNIE BROOK RD |
| City | ABERDEEN |
| State | NC |
| Zip Code | 28315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285690222 | Bertha Taylor-miller | Nurse Practitioner | 211 Bonnie Brook Rd, Aberdeen, NC 28315 | 2006-04-26 |
| 1093289571 | Crystal F Smith | Nurse Practitioner | 211 Bonnie Brook Rd, Aberdeen, NC 28315-3125 | 2019-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942821681 | Mission Physical Therapy LLC | Clinic/Center | 155 Allison Page Road, Suite B, Aberdeen, NC 28315 | 2020-05-05 |
| 1154768653 | Dr Cameron and Associates, Pllc | Dentist | 292 Turner St., Aberdeen, NC 28315 | 2013-05-24 |
| 1891043493 | Anne M Kratzer | Doula | 1000 Robinwood Rd, Aberdeen, NC 28315 | 2012-08-29 |
| 1912283912 | Triune Laboratory | Clinical Medical Laboratory | 325b Fields Dr, Aberdeen, NC 28315 | 2011-10-24 |
| 1013206705 | Alvin D. Wilson | Social Worker | 115 Ashleigh Blvd, Aberdeen, NC 28315 | 2011-04-01 |
| 1841593167 | Constance L. Pearson | Counselor | 100 Magnolial Square Court, Aberdeen, NC 28315 | 2010-12-08 |
| 1568799617 | Tammie C Watkins | Pharmacist | 15911 Hwy 15-501, Aberdeen, NC 28315 | 2009-11-11 |
| 1518002203 | Kidspeace National Centers of North America Inc | Community/Behavioral Health | 604 Magnolia Drive, Aberdeen, NC 28315 | 2007-02-20 |
| 1891855847 | Hope Family Center PC | Family Medicine | 210 Magnolia Square Ct, Aberdeen, NC 28315 | 2006-12-11 |
| 1154427318 | Gary P Dackor Dc Inc | Chiropractor | 1701 North Sandhills Blvd. Suite D, Aberdeen, NC 28315 | 2006-09-15 |
| Find all providers in zip 28315 | ||||
| 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 |
|---|---|---|---|---|
| 1851883540 | Modern Day Health Care Prof LLC | Family Medicine | 125 Railroad Ave Se, Aberdeen, SD 57401-4202 | 2018-05-30 |
| 1639597370 | Jason Li | Family Medicine | 17 Beacon Ln, Aberdeen, NJ 07747-2301 | 2014-03-31 |
| 1154695344 | Urgent Cares of America North Carolina Inc. | Family Medicine | 1800 N Sandhills Blvd, Aberdeen, NC 28315-2336 | 2012-03-06 |
| 1184919151 | Oluwakemi Ajide | Family Medicine | 1013 Beards Hill Rd, Suite 103, Aberdeen, MD 21001-2293 | 2011-06-17 |
| 1316237092 | Rose Mary Hatem Bonsack | Family Medicine | 205 Hemlock La., Aberdeen, MD 21001 | 2011-04-14 |
| 1013143296 | Avera St. Luke's | Family Medicine | 105 S State St Ste 113, Aberdeen, SD 57401-4502 | 2009-06-02 |
| 1205992153 | Woodie Darnell Herron | Family Medicine | 200 East Commerce Street, Aberdeen, MS 39730 | 2006-12-28 |
| 1891855847 | Hope Family Center PC | Family Medicine | 210 Magnolia Square Ct, Aberdeen, NC 28315 | 2006-12-11 |
| 1992732168 | Charles D Adams | Family Medicine | 1813 Sumner St, Aberdeen, WA 98520 | 2006-06-26 |
| 1154364636 | Kevin Curtis Hayes | Family Medicine | 504 S Chestnut St, Aberdeen, MS 39730-3337 | 2006-06-13 |
| Find all providers in ABERDEEN | ||||
Please comment or provide details below to improve the information on PRIMARY & IMMEDIATE CARE OF THE PINES, LLC.
| 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.