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 |
| 1 | 101Y00000X | Counselor | | | NORTH CAROLINA | No |
| 2 | 103T00000X | Psychologist | | | NORTH CAROLINA | No |
| 3 | 104100000X | Social Worker | | | NORTH CAROLINA | No |
| 4 | 106H00000X | Marriage & Family Therapist | | | NORTH CAROLINA | No |
| 5 | 207Q00000X | Family Medicine | | | NORTH CAROLINA | No |
| 6 | 207R00000X | Internal Medicine | | | NORTH CAROLINA | Yes |
| 7 | 207V00000X | Obstetrics & Gynecology | | | NORTH CAROLINA | No |
| 8 | 207X00000X | Orthopaedic Surgery | | | NORTH CAROLINA | No |
| 9 | 208000000X | Pediatrics | | | NORTH CAROLINA | No |
| 10 | 2084P0005X | Psychiatry & Neurology | Neurodevelopmental Disabilities | | NORTH CAROLINA | No |
| 11 | 208600000X | Surgery | | | NORTH CAROLINA | No |
| 12 | 2086S0129X | Surgery | Vascular Surgery | | NORTH CAROLINA | No |
| 13 | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | | | NORTH CAROLINA | No |
| 14 | 363A00000X | Physician Assistant | | | NORTH CAROLINA | No |
| 15 | 363L00000X | Nurse Practitioner | | | NORTH CAROLINA | No |