FAMILY HEALTHCARE PRACTICE PLLC - NPI 1134311723 - Family Medicine in Conover, NC

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Family Healthcare Practice Pllc NPPES

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

FAMILY HEALTHCARE PRACTICE PLLC (NPI 1134311723) is a healthcare organization registered as a family medicine in Conover, North Carolina and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through October 8, 2026 and lists Thomas E Goodin, Md, as its authorized official.

NPPES Registry Identity

NPI1134311723

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFAMILY HEALTHCARE PRACTICE PLLC

Location Address130 1ST ST WConover, NC 28613-2106

Mailing Address130 1st St WConover, NC 28613-2106 · (828) 466-3000 · Fax (828) 464-3281

Phone(828) 466-3000

Organization SubpartNo

Authorized OfficialThomas E GoodinMd · (828) 466-3000

Enumeration DateAugust 16, 2007

Last NPPES UpdateMarch 22, 2012

✔ NPI 1134311723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 15357

Definition

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.

130 1ST ST W, Conover, NC 28613

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Other Identifiers 4

Medicare PIN232196NC

Medicaid8936195NC

Medicaid5915750NC

Other36195NC · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 ›

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 34D1090404

Family Healthcare Practice PLLC · Conover, NC

Active · expires Oct 8, 2026

CLIA Number34D1090404

Laboratory TypePhysician Office

Certificate Effective DateOctober 9, 2024

Certificate Expiration DateOctober 8, 2026

Laboratory DirectorThomas E. Goodin

Laboratory Phone(919) 477-5152

Laboratory LocationFamily Healthcare Practice PLLC130 1st Street West, Conover, NC 28613

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. THOMAS ELLIOTT GOODIN III MD

Internal Medicine