OUTER BANKS FAMILY MEDICINE PLLC NPI 1558633651

NPI Information

NPI: 1558633651
Provider Name: OUTER BANKS FAMILY MEDICINE, PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2522 S CROATAN HWY
SUITE 1-B
NAGS HEAD, NC
ZIP 27959
Phone: (252) 441-5038
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OUTER BANKS FAMILY MEDICINE, PLLC is a primary care clinic center in Nags Head, NC. OUTER BANKS FAMILY MEDICINE, PLLC NPI is 1558633651. The provider is registered as an organization entity type.

The provider's business location address is:

2522 S CROATAN HWY
SUITE 1-B
NAGS HEAD, NC
ZIP 27959-809
Phone: (252) 441-5038
Fax: (252) 441-5216

The provider's authorized official is Amanda C. Austin .
The authorized official title is Physician and has the following contact phone number (252) 441-5038.

The enumeration date for this NPI number is 2/3/2012 and was last updated on 2/3/2012.

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	261QP2300X	Clinic/Center	Primary Care	9601219	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	891080U	MEDICAID	NORTH CAROLINA
2	1080U	OTHER	NORTH CAROLINA	BLUE CROSS BLUE SHIELD
3	2246026B	MEDICARE PIN	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: 5/5/2024

NPI Synchronization or Removal

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