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WHITE OAK URGENT CARE RANDLEMAN
NPI 1104925072
Emergency Medicine in Randleman, NC

Active since September 21, 2006CLIA 34D0990794 · Waiver
608 W ACADEMY ST, RANDLEMAN, NC 27317(336) 495-1001(336) 495-1005 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About White Oak Urgent Care Randleman NPPES

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

WHITE OAK URGENT CARE RANDLEMAN (NPI 1104925072) is a healthcare organization registered as an emergency medicine in Randleman, North Carolina and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through October 26, 2027 and lists Laura S. Gore, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104925072
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameWHITE OAK FAMILY PHYSICIANS, PA
Location Address608 W ACADEMY STRandleman, NC 27317-9748
Mailing Address550 White Oak StAsheboro, NC 27203-4710 · (336) 625-1360 · Fax (336) 625-1889
Phone(336) 495-1001
Fax(336) 495-1005
Organization SubpartNo
Authorized OfficialLaura S. GoreCeo · (336) 625-1360
Enumeration DateSeptember 21, 2006
Last NPPES UpdateAugust 13, 2021
NPPES CertifiedAugust 13, 2021
✔ NPI 1104925072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
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.
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
608 W ACADEMY ST, Randleman, NC 27317
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Other Names 1

Doing Business AsWhite Oak Urgent Care Randleman

Other Identifiers 2

Other012NGNC · Bcbs Group Number
Medicaid89012NGNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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 of Waiver 34D0990794

White Oak Urgent Care Randleman · Randleman, NC
Active · expires Oct 26, 2027
CLIA Number34D0990794
Laboratory TypeUrgent Care
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorJaber A. Khan
Laboratory Phone(336) 495-1001
Laboratory LocationWhite Oak Urgent Care Randleman608 West Academy Street, Randleman, NC 27317
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

RUBEN FERNANDEZ VAZQUEZ
Physician Assistant
608 W ACADEMY ST
RANDLEMAN, NC 27317
Randolph County (336) 495-1001
DAVID G. SKOWRONEK MD
Legal Medicine
608 W ACADEMY ST
RANDLEMAN, NC 27317
Randolph County (336) 495-1001
JAVIUS PETTIFORD
Nurse Practitioner (Family)
608 W ACADEMY ST
RANDLEMAN, NC 27317
Randolph County (336) 495-1001
PHILIP T OLSHINSKI F.N.P.
Nurse Practitioner (Family)
608 W ACADEMY ST
RANDLEMAN, NC 27317
Randolph County (336) 495-1001

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 White Oak Family Physicians, PA's NPI number?

The NPI number for White Oak Family Physicians, PA is 1104925072. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as White Oak Urgent Care Randleman.

Where is White Oak Family Physicians, PA located?

White Oak Family Physicians, PA is located at 608 W Academy St, Randleman, NC 27317. The listed phone number is (336) 495-1001.

What is White Oak Family Physicians, PA's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Does White Oak Family Physicians, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0990794) is associated with this NPI, valid through October 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does White Oak Family Physicians, PA accept?

Health plans from Blue Cross and Blue Shield of NC list White Oak Family Physicians, PA 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 White Oak Family Physicians, PA was last updated on August 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.