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SOUTHERN MEDICAL ASSOCIATES NPI 1356890776


NPI Information

NPI: 1356890776
Provider Name: SOUTHERN MEDICAL ASSOCIATES
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 34D2122913

Address:
505 W FLEMING DR
MORGANTON, NC
ZIP 28655
Phone: (828) 438-8577
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SOUTHERN MEDICAL ASSOCIATES is a nurse practitioner in Morganton, NC. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. SOUTHERN MEDICAL ASSOCIATES NPI is 1356890776. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

505 W FLEMING DR
MORGANTON, NC
ZIP 28655-923
Phone: (828) 438-8577
Fax: (828) 438-8507

The provider's authorized official is Craig Mcgee .
The authorized official title is Manager and has the following contact phone number (828) 764-5023.

The CLIA number assigned to this NPI record is 34D2122913 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2016 and was last updated on 1/12/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner152060NORTH CAROLINAYes
2363L00000XNurse Practitioner201618NORTH CAROLINANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERNORTH CAROLINATAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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