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CENTRAL CAROLINA FAMILY CARE SOUTH
NPI 1003508367
Clinic/Center - Rural Health in Sanford, NC

Active since May 24, 2023CLIA 34D1035034 · Waiver
1140 CARTHAGE ST STE B, SANFORD, NC 27330(919) 775-2304(919) 775-4050 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 27, 2024, Jun 20, 2023, May 24, 2023 (3 updates tracked since 2023).

About Central Carolina Family Care South NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL CAROLINA FAMILY CARE SOUTH (NPI 1003508367) is a healthcare organization registered as a rural health in Sanford, North Carolina and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through January 3, 2027 and lists Charlotte Lawrence, Secretary, as its authorized official.

NPPES Registry Identity

NPI1003508367
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameDLP CENTRAL CAROLINA MEDICAL GROUP LLC
Location Address1140 CARTHAGE ST STE BSanford, NC 27330-4161
Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7000 · Fax (615) 920-8775
Phone(919) 775-2304
Fax(919) 775-4050
Organization SubpartNo
Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7000
Enumeration DateMay 24, 2023
Last NPPES UpdateSeptember 27, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
✔ NPI 1003508367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1140 CARTHAGE ST STE B, Sanford, NC 27330
Open in Google Maps ↗

Other Names 1

Doing Business AsCentral Carolina Family Care South

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Central Carolina Family Care South is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

91

Medicare enrollment records show 91 clinicians reassign Medicare billing to Central Carolina Family Care South, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 34 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Obstetrics/Gynecology27
Nurse Practitioner16
Family Practice14
Certified Nurse Midwife (CNM)10
Urology9
Internal Medicine4
Orthopedic Surgery4
Cardiovascular Disease (Cardiology)3
2 other specialties4

Nearest to this location (20)

See all 91
Vladim Bobrovnikov, M.D.
Obstetrics/Gynecology
NPI 1710399563
1140 CARTHAGE ST
Sanford, NC 27330
(919) 775-2304
✔ PECOS✔ Accepts MedicareSame address
Cheri Folk, NP-C
Nurse Practitioner
NPI 1679008288
1140 CARTHAGE ST STE B
Sanford, NC 27330
(919) 499-5150
✔ PECOS✔ Accepts MedicareSame address
Colleen Higdon, WHNP-BC
Nurse Practitioner
NPI 1649931734
1140 CARTHAGE ST
Sanford, NC 27330
(919) 775-2305
✔ PECOS✔ Accepts MedicareSame address
Lisa Jones, M.D.
Obstetrics/Gynecology
NPI 1245269851
1140 CARTHAGE ST
Sanford, NC 27330
(919) 775-2304
✔ PECOSSame address
Lakeesha Murphy-Spencer, CNM
Certified Nurse Midwife (CNM)
NPI 1609538180
1140 CARTHAGE ST
Sanford, NC 27330
(919) 775-2304
✔ PECOSSame address
Jacob Thomas, M.D.
Obstetrics/Gynecology
NPI 1437538303
1140 CARTHAGE ST
Sanford, NC 27330
(919) 775-4050
✔ PECOS✔ Accepts MedicareSame address
Molly Crossman, WHNP-BC
Nurse Practitioner
NPI 1003051418
1140 CARTHAGE ST
Sanford, NC 27330
(919) 775-2304
✔ PECOS✔ Accepts MedicareSame address
Steven Jurisich, MD
General Surgery
NPI 1396731485
1139 CARTHAGE ST SUITE 110
Sanford, NC 27330
(919) 775-7232
✔ PECOS✔ Accepts Medicare0.1 mi
Gerard O Donnell, MD
Internal Medicine
NPI 1447210182
1139 CARTHAGE ST SUITE 110
Sanford, NC 27330
(919) 774-2195
✔ PECOS✔ Accepts Medicare0.1 mi
Saurav Pokharel, MD
Internal Medicine
NPI 1811135379
1139 CARTHAGE ST
Sanford, NC 27330
(919) 921-8980
✔ PECOS✔ Accepts Medicare0.1 mi
Parker Mcconville, MD
Family Practice
NPI 1295926251
1125 CARTHAGE ST
Sanford, NC 27330
(919) 774-6023
✔ PECOS✔ Accepts Medicare0.1 mi
Andrew Caldwell, DO
Family Practice
NPI 1184041345
1125 CARTHAGE ST
Sanford, NC 27330
(919) 774-6023
✔ PECOS✔ Accepts Medicare0.1 mi
Ken-Shih Fan, DO
Family Practice
NPI 1386389146
1125 CARTHAGE ST
Sanford, NC 27330
(919) 774-6023
✔ PECOS✔ Accepts Medicare0.1 mi
Michele Hensley, M.D.
Family Practice
NPI 1497830822
1125 CARTHAGE ST
Sanford, NC 27330
(919) 774-6023
✔ PECOS✔ Accepts Medicare0.1 mi
Robert Mcconville, MD
Family Practice
NPI 1104820133
1125 CARTHAGE ST
Sanford, NC 27330
(919) 774-6023
✔ PECOS✔ Accepts Medicare0.1 mi
Tiesha Ward, DNP, FNP-C
Nurse Practitioner
NPI 1568244762
1125 CARTHAGE ST
Sanford, NC 27330
(919) 774-6023
✔ PECOS✔ Accepts Medicare0.1 mi
Eyra Agudu, MD
Obstetrics/Gynecology
NPI 1902923980
1135 CARTHAGE ST
Sanford, NC 27330
(919) 775-2304
✔ PECOS✔ Accepts Medicare0.1 mi
Holly Drake, CNM
Certified Nurse Midwife (CNM)
NPI 1306274238
1135 CARTHAGE ST
Sanford, NC 27330
(919) 774-2100
✔ PECOS✔ Accepts Medicare0.1 mi
Roger Ernest, D.O.
General Surgery
NPI 1124218169
709 WICKER ST STE B
Sanford, NC 27330
(919) 332-1919
✔ PECOS✔ Accepts Medicare0.5 mi
Rajiv Swamy, MD
Internal Medicine
NPI 1396923793
709 WICKER ST STE A
Sanford, NC 27330
(919) 774-6262
✔ PECOS✔ Accepts Medicare0.5 mi
See all 91 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D1035034

Central Carolina Family Care South · Sanford, NC
Active · expires Jan 3, 2027
CLIA Number34D1035034
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorDr. Robert Mcconville
Laboratory Phone(919) 777-0337
Laboratory LocationCentral Carolina Family Care South1140 Carthage Street Suite B, Sanford, NC 27330
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dlp Central Carolina Medical Group LLC's NPI number?

The NPI number for Dlp Central Carolina Medical Group LLC is 1003508367. It was assigned to this organization in the NPPES registry on May 24, 2023. The provider is doing business as Central Carolina Family Care South.

Where is Dlp Central Carolina Medical Group LLC located?

Dlp Central Carolina Medical Group LLC is located at 1140 Carthage St Ste B, Sanford, NC 27330. The listed phone number is (919) 775-2304.

What is Dlp Central Carolina Medical Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Dlp Central Carolina Medical Group LLC enrolled in Medicare?

Yes. Dlp Central Carolina Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dlp Central Carolina Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 91 clinicians in 10 Medicare specialties reassign their Medicare billing to Dlp Central Carolina Medical Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Obstetrics/Gynecology (27), Nurse Practitioner (16) and Family Practice (14). Of these, 7 practice at this address and 34 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dlp Central Carolina Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1035034) is associated with this NPI, valid through January 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dlp Central Carolina Medical Group LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Dlp Central Carolina Medical Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dlp Central Carolina Medical Group LLC was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.