DR. JERRILL LEE MCENTIRE (NPI# 1952333890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952333890 |
| Entity Type | Individual |
| Full Name | DR. JERRILL LEE MCENTIRE |
| Credential | M.D. |
| Practice Address |
26 South Thomason Street Old Fort NC 28762-0789 |
| Mailing Address |
Po Box 789 Old Fort NC 28762-0789 |
| Practice Telephone | 8286687694 |
| Mailing Telephone | 8286687694 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 18973 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
26 SOUTH THOMASON STREET |
| City | OLD FORT |
| State | NC |
| Zip Code | 28762-0789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134153786 | Mcdowell Community Health Services | Family Medicine | 26 South Thomason Street, Old Fort, NC 28762 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760802110 | Eagle Chiropractic Family Wellness Center P A | Chiropractor | 262 Catawba Ave, Old Fort, NC 28762 | 2014-04-24 |
| 1942447354 | Jason Thomas Mckeown | Marriage & Family Therapist | 197 Deer Valley Drive, Old Fort, NC 28762 | 2009-01-08 |
| 1174701288 | Jon Charles Tripp | Counselor | 90 Mackey Farm Dr, Old Fort, NC 28762 | 2008-01-31 |
| 1205910049 | H and W Services Inc | Pharmacy | 40 W Main Street, Old Fort, NC 28762 | 2006-10-25 |
| 1770583148 | Mcdowell Community Health Services | Clinic/Center | 26 S Thomason St., Old Fort, NC 28762 | 2005-07-28 |
| 1841531423 | Anita Elizabeth Ray | Pharmacist | 40 West Main Street, Old Fort, NC 28762 | 2013-03-07 |
| 1790002160 | The Mcdowell Hospital Inc | Clinic/Center | 32 E Main St, Old Fort, NC 28762 | 2010-04-26 |
| 1730413709 | Leigh Vainio Johanson | Physician Assistant | 32 East Main Street, Old Fort, NC 28762 | 2009-09-24 |
| 1689685950 | Cato Oliver Holler Jr. | Dentist | 212 East Main Street, Old Fort, NC 28762 | 2006-08-11 |
| 1962978122 | Mh Mission Hospital Mcdowell, Lllp | Nurse Practitioner | 32 E Main St, Old Fort, NC 28762-0017 | 2018-10-15 |
| Find all providers in zip 28762 | ||||
| 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 |
|---|---|---|---|---|
| 1730148099 | Penny L Mullins | Family Medicine | 8153 Main Street, Old Fort, OH 44861 | 2006-03-23 |
| 1851686877 | Bruce Anthony Ulrich | Family Medicine | 32 E Main St, Old Fort, NC 28762-0017 | 2011-06-17 |
| 1699953877 | James M Quayle | Family Medicine | 32 East Main Street, Old Fort, NC 28752 | 2008-02-09 |
| 1134153786 | Mcdowell Community Health Services | Family Medicine | 26 South Thomason Street, Old Fort, NC 28762 | 2006-07-10 |
| 1619901915 | Community Care I, Inc. | Family Medicine | 8153 Main Street, Old Fort, OH 44861 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586581 | Fhpg, LLC | Family Medicine | 1690 Us Highway 1 S Ste 200, Southern Pines, NC 28387-7037 | 2020-10-22 |
| 1225637333 | Mcpc-8, LLC | Family Medicine | 3110 S Horner Blvd Ste 4&5, Sanford, NC 27332-8212 | 2020-10-20 |
| 1740889864 | Mcpc-8, LLC | Family Medicine | 1690 Us Highway 1 S Ste 100, Southern Pines, NC 28387-7037 | 2020-10-20 |
| 1851999882 | Integrative Wellness Partners, Inc | Family Medicine | 3555 Hansa Dr, Castle Hayne, NC 28429-5863 | 2020-10-12 |
| 1124625504 | Tiffany Anne Swanson | Family Medicine | 405 Climax St, Graham, NC 27253-1608 | 2020-10-08 |
| 1235745985 | Alegis Care - North Carolina PC | Family Medicine | 11016 Rushmore Dr Ste 300, Charlotte, NC 28277-3651 | 2020-09-18 |
| 1902411077 | Carolina Medical Partners Pllc | Family Medicine | 10535 Flennigan Way, Charlotte, NC 28277-1417 | 2020-09-15 |
| 1558975433 | Kerr Area Rural Medical Alliance Pllc | Family Medicine | 266 Raymond Tharrington Rd, Louisburg, NC 27549-9687 | 2020-09-08 |
| 1083226906 | Relymd Medical Group Nc, Pllc | Family Medicine | 212 S Tryon St Ste 1000, Charlotte, NC 28281-0001 | 2020-08-21 |
| 1184233884 | Brittany Joyce Mcneil | Family Medicine | 1010 S 16th St, Wilmington, NC 28401-8018 | 2020-07-28 |
| 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.