CAROMONT- SOUTH POINT LLC (NPI# 1932388568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932388568 |
| Entity Type | Organization |
| Organization Name | CAROMONT- SOUTH POINT LLC |
| Other Organization Name | SOUTH POINT FAMILY PRACTICE |
| Practice Address |
159 E Dallas Rd Stanley NC 28164-2052 |
| Practice Telephone | 7042630300 |
| Practice Fax Number | 7042631873 |
| Mailing Telephone | 7042630300 |
| Mailing Fax Number | 7042631873 |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2019-04-25 |
| Authorized Official Name | DAVID M OCONNOR (CFO) |
| Authorized Official Telephone | 7048342133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5905652 | 05 |
| Other Name | Type Code |
|---|---|
| South Point Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609057629 | Caromont- South Point LLC | Family Medicine | 1220 Spruce St, Belmont, NC 28012-3370 | 2007-11-19 |
| 1891882551 | Caromont- South Point LLC | Family Medicine | 1220 Spruce St, Belmont, NC 28012-3370 | 2006-10-06 |
| Street Address |
159 E DALLAS RD |
| City | STANLEY |
| State | NC |
| Zip Code | 28164-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306896147 | Derek Michael Reed | Family Medicine | 159 E Dallas Rd, Stanley, NC 28164-2052 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992059430 | Stress Free Home Care | In Home Supportive Care | 717 South Main St., Stanley, NC 28164 | 2012-11-06 |
| 1235499559 | Comfort and Care Dentistry of Stanley | Dentist | 510 Highway 27 South, Stanley, NC 28164 | 2012-05-21 |
| 1912273863 | Cathleen Elizabeth Fisher | Pharmacist | 6050 South 16 North Carolina Highway, Denver, NC 28164 | 2012-03-26 |
| 1871779033 | Ronald M Cox Dds Pa | Dentist | 115 E College Street, Stanley, NC 28164 | 2008-01-17 |
| 1992996946 | Katherine R. Petersen | Dentist | 400 S Highway 27, Stanley, NC 28164 | 2007-08-06 |
| 1154482230 | Frederick Mathew Hornack Jr. | Optometrist | 204 South Main Street, Stanley, NC 28164 | 2006-12-13 |
| 1871678110 | Fatima A Brens | Family Medicine | 700 N Main St, Stanley, NC 28164 | 2006-10-26 |
| 1518422633 | Amber Randall | Behavior Technician | 107 Devine St, Stanley, NC 28164-1151 | 2019-02-02 |
| 1558780874 | Lisa Bailey Wilbanks | Nurse Practitioner | 121 Golden St, Stanley, NC 28164-1187 | 2014-04-15 |
| 1073878252 | Sunny Bakalli Severance | Nurse Practitioner | 700 N Main St, Stanley, NC 28164-1438 | 2012-07-12 |
| Find all providers in zip 28164 | ||||
| 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 |
|---|---|---|---|---|
| 1306896147 | Derek Michael Reed | Family Medicine | 159 E Dallas Rd, Stanley, NC 28164-2052 | 2006-05-11 |
| 1598722886 | James S Forrester Md Pa | Family Medicine | 510 S Highway 27, Stanley, NC 28164-2056 | 2006-04-28 |
| 1881666899 | R. David Lee | Family Medicine | 235 Medical Dr, Stanley, VA 22851-4112 | 2006-02-03 |
| 1770577629 | Mitzi M Groves | Family Medicine | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2005-09-07 |
| 1871956045 | Lacmbouh Ade | Family Medicine | 1120 Pine St, Stanley, WI 54768-1297 | 2016-04-04 |
| 1891175527 | Jenna Beth Kawase Eshcol | Family Medicine | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2015-06-08 |
| 1326278912 | Mark Kenneth Longmuir | Family Medicine | 615 6th St Se, Stanley, ND 58784-4444 | 2009-07-17 |
| 1871729210 | Achal Gupta | Family Medicine | 1120 Pine St, Stanley, WI 54768-1297 | 2009-05-29 |
| 1437300274 | Myrna Casing | Family Medicine | 36887 156th Ave, Stanley, WI 54768-6417 | 2008-10-09 |
| 1437314838 | Overland Park Surgical Specialties, LLC | Family Medicine | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2008-07-24 |
| Find all providers in STANLEY | ||||
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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.