RANDOLPH SPECIALTY GROUP PRACTICE (NPI# 1760930002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760930002 |
| Entity Type | Organization |
| Organization Name | RANDOLPH SPECIALTY GROUP PRACTICE |
| Other Organization Name | RANDOLPH HEALTH CHC BETTER CARE - INDUSTRIAL AVENUE |
| Practice Address |
629 Industrial Park Ave Asheboro NC 27205-7333 |
| Mailing Address |
Po Box 5418 Asheboro NC 27204-5418 |
| Practice Telephone | 3366330048 |
| Practice Fax Number | 3366330298 |
| Mailing Telephone | 3366252333 |
| Mailing Fax Number | 3366255511 |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2017-01-26 |
| Authorized Official Name | ROBERT SCOTT CLAUSER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3366252333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Randolph Health CHC Better Care - Industrial Avenue | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629517909 | Randolph Specialty Group Practice | Physical Therapist | 310 S Middleton St, Robbins, NC 27325-8407 | 2017-02-20 |
| 1760716740 | Randolph Specialty Group Practice | Orthopaedic Surgery | 503 N Fayetteville St, Asheboro, NC 27203-4728 | 2009-09-24 |
| 1396971438 | Randolph Specialty Group Practice | Physical Therapist | 148 Pointe South Dr, Randleman, NC 27317-9520 | 2009-06-03 |
| 1134398431 | Randolph Specialty Group Practice | Physical Therapist | 701 Liberty St, Ramseur, NC 27316-9464 | 2008-02-21 |
| 1538684113 | Randolph Specialty Group Practice | Surgery | 132 W Miller St Ste C, Asheboro, NC 27203-4775 | 2017-08-04 |
| 1679019640 | Randolph Specialty Group Practice | Family Medicine | 600 W Salisbury St Ste B, Asheboro, NC 27203-5591 | 2017-01-13 |
| 1710385935 | Randolph Specialty Group Practice | Internal Medicine | 132 W Miller St, Suite C, Asheboro, NC 27203-4774 | 2014-12-22 |
| 1306262936 | Randolph Specialty Group Practice | Family Medicine | 9936 Us Highway 311, Archdale, NC 27263-8826 | 2014-03-06 |
| 1104247626 | Randolph Specialty Group Practice | Family Medicine | 600 W Salisbury St, Suite B, Asheboro, NC 27203-5590 | 2013-12-31 |
| 1932536596 | Randolph Specialty Group Practice | Clinic/Center | 191 Nc Highway 42 N, Suite F, Asheboro, NC 27203-7964 | 2013-09-27 |
| Street Address |
629 INDUSTRIAL PARK AVE |
| City | ASHEBORO |
| State | NC |
| Zip Code | 27205-7333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144487935 | Susan Arritt Scott | Counselor | 629 Industrial Park Ave, Asheboro, NC 27205-7333 | 2008-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003208349 | Marva Price | Nurse Practitioner | 2222 South Fayetteville Street, Randolph County Health Department, Asheboro, NC 27205 | 2015-02-24 |
| 1982948386 | Sara Ann Coponen | Counselor | 4539 Cross Creek Rd, Asheboro, NC 27205 | 2012-11-26 |
| 1104151729 | Holly Marie O'grady Vanbencoten | Physician Assistant | 1714 Back Creek Ct, Asheboro, NC 27205 | 2009-10-15 |
| 1306060280 | Harmon Physical Therapy, Inc | Clinic/Center | 304 Lanier Avenue, Asheboro, NC 27205 | 2007-04-12 |
| 1932154408 | Behavioral Associates of Asheboro | Counselor | 547 N. Fayettevillie Street, Asheboro, NC 27205 | 2006-05-23 |
| 1487120614 | Dallas Welborn Hurley | Nurse Practitioner | 2222 S Fayetteville St Ste B, Asheboro, NC 27205 | 2018-10-15 |
| 1225522592 | Ashley Humble Wilson | Nurse Practitioner | 300 Mack Rd, Suite B, Ashbeoro, NC 27205 | 2018-06-19 |
| 1134356819 | Monarch | Community/Behavioral Health | 837 Oakwood Acres Rd, Asheboro, NC 27205-0910 | 2009-06-19 |
| 1457644791 | Jakia Danielle Marshall | Counselor | 987 Redwood Dr, Asheboro, NC 27205-0926 | 2011-05-19 |
| 1851836662 | Manashi C-lim Therapy Services, Pllc. | Occupational Therapist | 2168 S Lake Dr, Asheboro, NC 27205-1053 | 2017-01-03 |
| Find all providers in zip 27205 | ||||
| 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 |
|---|---|---|---|---|
| 1235793381 | Mcpc-8, LLC | Family Medicine | 208 W Salisbury St Ste A, Asheboro, NC 27203-5576 | 2019-04-24 |
| 1942320312 | R E Williford Md Pa | Family Medicine | 230 Foust Street, Asheboro, NC 27203 | 2007-03-30 |
| 1104889351 | Robert Lyle Dough Jr. | Family Medicine | 375 Sunset Ave, Asheboro, NC 27203-5611 | 2006-04-10 |
| 1679550040 | Pamela A Penner | Family Medicine | 515 W Salisbury St, Suite D, Asheboro, NC 27203-5497 | 2005-12-28 |
| 1093790107 | John D Cameron | Family Medicine | 550 White Oak St, Asheboro, NC 27203-4710 | 2005-12-12 |
| 1629051115 | Jim Sistasis | Family Medicine | 147 E Academy St, Asheboro, NC 27203-5706 | 2005-11-29 |
| 1780671016 | Robert Earl Williford Jr. | Family Medicine | 230 Foust St, Asheboro, NC 27203-5404 | 2005-10-03 |
| 1629077862 | Thomas M. Whyte | Family Medicine | 350 N Cox St, Ste 20, Asheboro, NC 27203-5514 | 2005-07-19 |
| 1245235373 | Millard Brady Thomas IIi | Family Medicine | 132 W Miller St, Suite C, Asheboro, NC 27203-4774 | 2005-06-16 |
| 1437643988 | Moses Cone Affiliated Physicians, Inc. | Family Medicine | 350 N Cox St Ste 28, Asheboro, NC 27203-5514 | 2018-06-19 |
| Find all providers in ASHEBORO | ||||
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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.