SAMPSON REGIONAL PROFESSIONAL SERVICES LLC (NPI# 1710209234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710209234 |
| Entity Type | Organization |
| Organization Name | SAMPSON REGIONAL PROFESSIONAL SERVICES LLC |
| Other Organization Name | CLINTON URGENT CARE |
| Practice Address |
1004 Beaman St Clinton NC 28328-2329 |
| Mailing Address |
Po Box 890315 Charlotte NC 28289-0315 |
| Practice Telephone | 9105929113 |
| Practice Fax Number | 9105900050 |
| Mailing Telephone | 9105928511 |
| Mailing Fax Number | 9105925461 |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2017-08-16 |
| Authorized Official Name | MR. HUNTER BALLTZGLIER (DIRECTOR) |
| Authorized Official Telephone | 9105908755 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 99999 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
99999 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | 99999 | NC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Clinton Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619251766 | Sampson Regional Professional Services LLC | Clinic/Center | 301 Main St, Newton Grove, NC 28366-7723 | 2011-10-07 |
| 1760706154 | Sampson Regional Professional Services LLC | Obstetrics & Gynecology | 603 Beaman St, Suite 501, Clinton, NC 28328-2650 | 2010-03-15 |
| 1073749131 | Sampson Regional Professional Services LLC | Nurse Practitioner | 522 Beaman St, Clinton, NC 28328-2602 | 2009-06-03 |
| Street Address |
1004 BEAMAN ST |
| City | CLINTON |
| State | NC |
| Zip Code | 28328-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477502276 | Ronald D Krull | Family Medicine | 1004 Beaman St, Clinton, NC 28328 | 2006-05-09 |
| 1598877540 | Clinton Urgent Care LLC | Clinic/Center | 1004 Beaman St, Clinton, NC 28328-2329 | 2006-08-31 |
| 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.