WHITEVILLE MEDICAL ASSOCIATES PA NPI 1902963937

NPI Information

NPI: 1902963937
Provider Name: WHITEVILLE MEDICAL ASSOCIATES PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 34D0246111

Address:
823 JEFFERSON ST
WHITEVILLE, NC
ZIP 28472
Phone: (910) 642-6121
Get Directions

WHITEVILLE MEDICAL ASSOCIATES PA is a family medicine in Whiteville, 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. WHITEVILLE MEDICAL ASSOCIATES PA NPI is 1902963937. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

823 JEFFERSON ST
WHITEVILLE, NC
ZIP 28472
Phone: (910) 642-6121
Fax: (910) 642-8457

The provider's authorized official is Henry W Traylor .
The authorized official title is President and has the following contact phone number (910) 642-6121.

The CLIA number assigned to this NPI record is 34D0246111 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 2/22/2024.

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	License Number	License State	Primary
1	207R00000X	Internal Medicine	24304	NORTH CAROLINA	No
2	208000000X	Pediatrics	39134	NORTH CAROLINA	No
3	207Q00000X	Family Medicine	20979	NORTH CAROLINA	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	7902940	MEDICAID	NORTH CAROLINA
2	CD8805	OTHER	NORTH CAROLINA	RAILROAD MEDICARE CLINIC
3	NPA538	OTHER	SOUTH CAROLINA	SOUTH CAROLINA MEDICAID

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

NPI Synchronization or Removal

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