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PELICAN FAMILY MEDICINE P.A. NPI 1093982605


NPI Information

NPI: 1093982605
Provider Name: PELICAN FAMILY MEDICINE, P.A.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 34D1050766

Address:
14057 US HIGHWAY 17 N STE 220
HAMPSTEAD, NC
ZIP 28443
Phone: (910) 821-1197
Get Directions

PELICAN FAMILY MEDICINE, P.A. is a family medicine in Hampstead, NC. The provider is 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. PELICAN FAMILY MEDICINE, P.A. NPI is 1093982605. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14057 US HIGHWAY 17 N STE 220
HAMPSTEAD, NC
ZIP 28443-779
Phone: (910) 821-1197
Fax: (910) 821-1187

The provider's authorized official is Mark Samuel Thomas Armitage .
The authorized official title is Owner/physician and has the following contact phone number (910) 792-1001.

The CLIA number assigned to this NPI record is 34D1050766 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/13/2008 and was last updated on 10/7/2019.


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
1207Q00000XFamily Medicine200101001NORTH 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
15903907MEDICAIDNORTH 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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.