PRIME DOC OF HAYWOOD, PA (NPI# 1992761886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992761886 |
| Entity Type | Organization |
| Organization Name | PRIME DOC OF HAYWOOD, PA |
| Practice Address |
262 Leroy George Drive Clyde NC 28721-7430 |
| Mailing Address |
5901-c Peachtree Dunwoody Road Suite 350 Atlanta GA 30328-7159 |
| Practice Telephone | 8284528862 |
| Practice Fax Number | 8432375073 |
| Mailing Telephone | 6784418556 |
| Mailing Fax Number | 6784418656 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2015-07-10 |
| Authorized Official Name | DR. TALBOT G. MCCORMICK III (PRESIDENT) |
| Authorized Official Telephone | 6784418500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89013PU | 05 | |
| NC | BLUE CROSS BLUE SHIELD | 013PU | 01 |
| NC | RAILROAD MEDICARE | DC9720 | 01 |
| Street Address |
262 LEROY GEORGE DRIVE |
| City | CLYDE |
| State | NC |
| Zip Code | 28721-7430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659828366 | Arcadia Pathology Network, Pllc | Pathology | 262 Leroy George Dr Pathology, Clyde, NC 28721 | 2016-09-10 |
| 1063760999 | Jenny Helms Caldwell | Pharmacist | 231 Ironwood Dr., Clyde, NC 28721 | 2012-08-27 |
| 1306112958 | Lynette Mount | Specialist/Technologist | 76 Leroy George Drive, Clyde, NC 28721 | 2012-03-28 |
| 1821242926 | Haywood Regional Medical Center | Clinic/Center | 75 Leroy George Drive, Clyde, NC 28721 | 2008-11-17 |
| 1770757338 | Colin James Bridger | Physical Therapist | 262 Leroy George Dve, Clyde, NC 28721 | 2008-04-15 |
| 1851585236 | Lori Anne Gerber | Counselor | 33 Sharon Lynne Way, Clyde, NC 28721 | 2007-08-29 |
| 1487779328 | Sandra Y Fowler | Social Worker | 73 Main St., Clyde, NC 28721 | 2007-03-20 |
| 1164593810 | County of Haywood | Case Management | 157 Paragon Pkwy Ste 300, Clyde, NC 28721 | 2006-11-13 |
| 1992779730 | Leroy S Crapanzano Jr. | Dentist | 157 Paragon Parkway, Haywood County Health Department, Clyde, NC 28721 | 2006-02-16 |
| 1063492007 | Ann Marie Mcdonald | Nurse Practitioner | 360 Hospital Dr Ste 120, Clyde, NC 28721 | 2006-01-17 |
| Find all providers in zip 28721 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568797900 | Western Carolina Physician Network Inc | Internal Medicine | 16 Physician Dr, Clyde, NC 28721-8486 | 2009-10-02 |
| 1326232570 | Rebecca Claire Roques-davis | Internal Medicine | 600 Hospital Drive Suite 10b, Clyde, NC 28721-8202 | 2007-08-30 |
| 1356568471 | Jay Weston Grosse | Internal Medicine | 600 Hospital Drive, Suite 9, Clyde, NC 28721-8046 | 2007-04-19 |
| 1598785842 | John Leonard Yuhas | Internal Medicine | 455 W Mcpherson Hwy, Clyde, OH 43410-1132 | 2006-07-20 |
| 1285180943 | Shaikh Fawwad | Internal Medicine | 402 W Mcpherson Hwy, Clyde, OH 43410-1133 | 2016-08-31 |
| 1922461128 | Sholabomi Oyewole-eletu | Internal Medicine | 262 Leroy George Dr, Clyde, NC 28721-7430 | 2016-04-04 |
| 1093094492 | Mission Hospital, Inc. | Internal Medicine | 360 Hospital Dr, Clyde, NC 28721-0107 | 2011-08-16 |
| 1699053942 | Haywood Regional Medical Center | Internal Medicine | 600 Hospital Dr, Suite 9, Clyde, NC 28721-8024 | 2011-08-03 |
| 1770710154 | Jennifer L Cunningham | Internal Medicine | 262 Leroy George Dr, Clyde, NC 28721-7430 | 2009-06-12 |
| 1629299979 | Lewis Cass Sommerville IIi | Internal Medicine | 262 Leroy George Dr, Clyde, NC 28721-7430 | 2007-05-02 |
| Find all providers in CLYDE | ||||
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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.