PHILIP D MEADOR JR MD PA NPI 1013119254

NPI Information

  • NPI: 1013119254
  • Provider Name: PHILIP D MEADOR JR MD PA
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 568 RUIN CREEK RD
    SUITE 120
    HENDERSON, NC
    ZIP 27536
  • Phone: (252) 492-2123

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NPI Details

PHILIP D MEADOR JR MD PA is a specialist in Henderson, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PHILIP D MEADOR JR MD PA NPI is 1013119254. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

568 RUIN CREEK RD
SUITE 120
HENDERSON, NC
ZIP 27536-880
Phone: (252) 492-2123
Fax: (252) 436-0031

The provider's authorized official is Philip Dale Meador .
The authorized official title is Physician and has the following contact phone number (252) 492-2123.

The enumeration date for this NPI number is 6/1/2007 and was last updated on 2/4/2011.

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
1174400000XSpecialist17395NORTH CAROLINAYes

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
1C80968MEDICARE UPINNORTH CAROLINA
28958290MEDICAIDNORTH CAROLINA
358290OTHERNORTH CAROLINABCBSNC
4201848MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA

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: 11/21/2025

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