MEDICOMP, INC. (NPI# 1780049353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780049353 |
| Entity Type | Organization |
| Organization Name | MEDICOMP, INC. |
| Other Organization Name | MEDICOMP PHYSICAL THERAPY KING |
| Practice Address |
167 Moore Rd King NC 27021-8770 |
| Mailing Address |
2015 Highpointe Dr Brandon MS 39042-3169 |
| Practice Telephone | 3369852120 |
| Practice Fax Number | 3369852122 |
| Mailing Telephone | 6018248914 |
| Mailing Fax Number | 6018248828 |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |
| Authorized Official Name | MR. JOSEPH MCNULTY (CEO) |
| Authorized Official Telephone | 6018496440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Medicomp Physical Therapy King | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336509728 | Medicomp, Inc. | Clinic/Center | 3454 Highway 80 E, Pearl, MS 39208-4001 | 2016-02-29 |
| 1033574579 | Medicomp, Inc. | Clinic/Center | 647 Flowers Drive, Blakely, GA 39823-2574 | 2015-12-29 |
| 1114229168 | Medicomp, Inc. | Physical Therapist | 1392 W Government St # C, Brandon, MS 39042-3049 | 2010-11-24 |
| 1285950246 | Medicomp, Inc. | Occupational Therapist | 357 Simpson Highway 149, Magee, MS 39111-3877 | 2010-04-15 |
| 1669837241 | Medicomp, Inc. | Clinic/Center | 817 Woodland Drive, Stuart, VA 24171-1559 | 2015-12-23 |
| 1952766537 | Medicomp, Inc. | Clinic/Center | 18797 Alberta St, Oneida, TN 37841-2127 | 2015-12-23 |
| 1861794810 | Medicomp, Inc. | Physical Therapist | 813 W Third St, Forest, MS 39074-4006 | 2010-11-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEDICOMP, INC. | 600 Atlantis Rd, Melbourne, FL 32904-2315 |
| Washington State Corporations | MEDICOMP, INC. | 711 Capitol Way S Ste 204, Olympia, WA 98501 |
| Street Address |
167 MOORE RD |
| City | KING |
| State | NC |
| Zip Code | 27021-8770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596211 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 167 Moore Rd, King, NC 27021-8770 | 2005-08-23 |
| 1710444112 | Forsyth Medical Group, LLC | Pediatrics | 167 Moore Rd, King, NC 27021-8770 | 2019-02-22 |
| 1356824395 | Jessica Campbell | Physical Therapist | 167 Moore Rd, King, NC 27021-8770 | 2018-09-14 |
| 1578073755 | Davis Templeton | Physical Therapist | 167 Moore Rd, King, NC 27021-8770 | 2017-10-02 |
| 1407376635 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 167 Moore Rd, King, NC 27021 | 2017-06-20 |
| 1427597913 | Lifebrite Hospital Group of Stokes, LLC | Clinic/Center | 167 Moore Rd, King, NC 27021-8770 | 2017-02-16 |
| 1649713462 | Lifebrite Hospital Group of Stokes, LLC | Clinic/Center | 167 Moore Rd, King, NC 27021-8770 | 2016-11-28 |
| 1295278174 | Lifebrite Hospital Group of Stokes, LLC | General Acute Care Hospital | 167 Moore Rd, King, NC 27021-8770 | 2016-11-28 |
| 1679939573 | Novant Medical Group Inc | Urology | 167 Moore Rd, King, NC 27021-8770 | 2016-01-07 |
| 1467836247 | Maranda Lingelbach | Physical Therapist | 167 Moore Rd, King, NC 27021-8770 | 2015-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427672252 | Meagan L Hankins | Occupational Therapy Assistant | 440 Ingram Road, King, NC 27021 | 2020-06-08 |
| 1447898754 | Magnolia Eye Care, O.d. Pllc | Optometrist | 141 Spruce Pine Way, Suite C, King, NC 27021 | 2019-12-17 |
| 1700268000 | Andrew Kiger | Physical Therapist | 710 Kirby Rd, King, NC 27021 | 2015-06-23 |
| 1053745471 | Priddy Manor Assisted Living | Custodial Care Facility | 1294 Priddy Road, King, NC 27021 | 2013-08-22 |
| 1790068369 | Mohamed Hamdy Darwish | Pharmacist | 600 S Main St., King, NC 27021 | 2011-09-21 |
| 1093000192 | Megan Kistler | Pharmacist | 600 S. Main Street, King, NC 27021 | 2011-06-16 |
| 1316237563 | A.t. Bassiri, D.d.s., P.a. | Dentist | 226 Kirby Road, King, NC 27021 | 2011-04-08 |
| 1033417258 | Teresa Bryant Jennings | Pharmacist | 650 S. Main Street, King, NC 27021 | 2011-03-11 |
| 1669681854 | King Medical Associates | Family Medicine | 202 Scenic Drive, King, NC 27021 | 2007-05-22 |
| 1447319595 | North Carolina Cvs Pharmacy LLC | Pharmacy | 600 South Main St, King, NC 27021 | 2006-12-06 |
| Find all providers in zip 27021 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205340411 | Enduracare Acute Care Services LLC | Clinic/Center | 710 Kirby Rd, King, NC 27021-9497 | 2017-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496757 | North Carolina Physical Therapy | Clinic/Center | 223 E Chatham St Ste 101, Cary, NC 27511-3475 | 2020-10-29 |
| 1750988861 | Homefront Physical Therapy, LLC | Clinic/Center | 100 Fullard Dr, Sneads Ferry, NC 28460-9530 | 2020-10-02 |
| 1861009144 | Radiance Physical Therapy LLC | Clinic/Center | 9 Richmond Ct, Durham, NC 27713-8376 | 2020-09-30 |
| 1386250124 | Nicol Chiropractic Center | Clinic/Center | 7011 Fayetteville Rd Ste 106b, Durham, NC 27713-7745 | 2020-09-17 |
| 1295349231 | All Natural Female LLC | Clinic/Center | 10314 Kirkmont Dr, Charlotte, NC 28269-6219 | 2020-09-08 |
| 1538773064 | Congruency Therapy & Wellness LLC | Clinic/Center | 5045 Strawberry Hill Dr Apt D, Charlotte, NC 28211-4535 | 2020-09-02 |
| 1093329617 | Begin With Breath, LLC | Clinic/Center | 37 Hampden Rd, Asheville, NC 28805-2421 | 2020-09-01 |
| 1225641020 | Flo Physical Therapy & Performance LLC | Clinic/Center | 13959 Tom Short Rd, Marvin, NC 28173-5300 | 2020-08-31 |
| 1689286122 | 2662 Pursuits LLC | Clinic/Center | 279 Paragon Pkwy, Clyde, NC 28721-8509 | 2020-08-17 |
| 1255958930 | Rise Physical Therapy LLC | Clinic/Center | 3710 Exchange Glenwood Pl Apt 346, Raleigh, NC 27612-4853 | 2020-06-29 |
| Find all providers with the same taxonomy | ||||
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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.