WHITE OAK FAMILY PHYSICIANS PA NPI 1104925072

NPI Information

NPI: 1104925072
Provider Name: WHITE OAK FAMILY PHYSICIANS, PA
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Doing Business As: WHITE OAK URGENT CARE RANDLEMAN
CLIA Number: 34D0990794
Address: 608 W ACADEMY ST
RANDLEMAN, NC
ZIP 27317
Phone: (336) 495-1001

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NPI Details

WHITE OAK FAMILY PHYSICIANS, PA is an emergency medicine in Randleman, NC. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. WHITE OAK FAMILY PHYSICIANS, PA NPI is 1104925072. The provider is registered as an organization entity type.
The provider Is Doing Business As White Oak Urgent Care Randleman.

The provider's business location address is:

608 W ACADEMY ST
RANDLEMAN, NC
ZIP 27317-748
Phone: (336) 495-1001
Fax: (336) 495-1005

The provider's authorized official is Laura S. Gore .
The authorized official title is Ceo and has the following contact phone number (336) 625-1360.

The CLIA number assigned to this NPI record is 34D0990794 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 8/13/2021.

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	261QU0200X	Clinic/Center	Urgent Care		NORTH CAROLINA	No
2	207P00000X	Emergency Medicine				Yes

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	012NG	OTHER	NORTH CAROLINA	BCBS GROUP NUMBER
2	89012NG	MEDICAID	NORTH 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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