CENTRAL CAROLINA COMMUNITY FAMILY CARE
NPI 1073204715
Clinic/Center - Rural Health in Sanford, NC

Q: 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.

Active since May 15, 2023CLIA 34D0937650 · Microscopy

2412 WILKINS DR, SANFORD, NC 27330(919) 776-6000(919) 776-1751 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2024, May 15, 2023 (2 updates tracked since 2023).

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About Central Carolina Community Family Care NPPES

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

CENTRAL CAROLINA COMMUNITY FAMILY CARE (NPI 1073204715) 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 Microscopy certificate valid through December 21, 2027 and lists Charlotte Lawrence, Secretary, as its authorized official.

NPPES Registry Identity

NPI1073204715

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameDLP CENTRAL CAROLINA MEDICAL GROUP LLC

Location Address2412 WILKINS DRSanford, NC 27330-7268

Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7000 · Fax (615) 920-8775

Phone(919) 776-6000

Fax(919) 776-1751

Organization SubpartNo

Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7000

Enumeration DateMay 15, 2023

Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2024

✔ NPI 1073204715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

2412 WILKINS DR, Sanford, NC 27330

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Other Names 1

Doing Business AsCentral Carolina Community Family Care

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.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 34D0937650

Central Carolina Community Family Care · Sanford, NC

Active · expires Dec 21, 2027

CLIA Number34D0937650

Laboratory TypePhysician Office

Certificate Effective DateDecember 22, 2025

Certificate Expiration DateDecember 21, 2027

Laboratory DirectorDaphne J. Cates

Laboratory Phone(919) 776-6000

Laboratory LocationCentral Carolina Community Family Care2412 Wilkins Drive, Sanford, NC 27330

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HIROMI MARUYAMA M.D.

Family Medicine