FORTIFIED MED PLLC
NPI 1174204879
Clinic/Center - Primary Care in Southern Pines, NC

Active since July 26, 2023CLIA 34D2296826 · Waiver
760C NW BROAD ST, SOUTHERN PINES, NC 28387(916) 431-0236 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fortified Med Pllc NPPES

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

FORTIFIED MED PLLC (NPI 1174204879), doing business as Thrive, is a healthcare organization registered as a primary care in Southern Pines, North Carolina and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through January 4, 2028 and lists Thomas Skinner, Owner, as its authorized official.

NPPES Registry Identity

NPI1174204879
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFORTIFIED MED PLLC
Location Address760C NW BROAD STSouthern Pines, NC 28387-4102
Mailing Address760c Nw Broad StSouthern Pines, NC 28387-4102 · (916) 431-0236
Organization SubpartNo
Authorized OfficialThomas SkinnerOwner · (916) 431-0236
Enumeration DateJuly 26, 2023
NPPES CertifiedJuly 26, 2023
NPI 1174204879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
760C NW BROAD ST, Southern Pines, NC 28387

Other Names 1

Doing Business AsThrive

Accepted 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 34D2296826

Fortified Med, PLLC · Southern Pines, NC
Active · expires Jan 4, 2028
CLIA Number34D2296826
Laboratory TypePhysician Office
Certificate Effective DateJanuary 5, 2026
Certificate Expiration DateJanuary 4, 2028
Laboratory DirectorThomas M. Skinner
Laboratory Phone(916) 431-0236
Laboratory LocationFortified Med, PLLC760 C NW Broad St, Southern Pines, NC 28387
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Dietitian, Registered
760C NW BROAD ST
SOUTHERN PINES, NC 28387
Dietitian, Registered
760C NW BROAD ST
SOUTHERN PINES, NC 28387
Clinic/Center
760C NW BROAD ST
SOUTHERN PINES, NC 28387
Dietitian, Registered
760C NW BROAD ST
SOUTHERN PINES, NC 28387
Dietitian, Registered
760C NW BROAD ST
SOUTHERN PINES, NC 28387
Nutritionist
760C NW BROAD ST
SOUTHERN PINES, NC 28387
Nurse Practitioner (Family)
760C NW BROAD ST
SOUTHERN PINES, NC 28387
Nurse Practitioner (Family)
760C NW BROAD ST
SOUTHERN PINES, NC 28387

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 Fortified Med PLLC's NPI number?

The NPI number for Fortified Med PLLC is 1174204879. It was assigned to this organization in the NPPES registry on July 26, 2023. The provider is doing business as Thrive.

Where is Fortified Med PLLC located?

Fortified Med PLLC is located at 760C NW Broad St, Southern Pines, NC 28387. The listed phone number is (916) 431-0236.

What is Fortified Med PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Fortified Med PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2296826) is associated with this NPI, valid through January 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fortified Med PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Fortified Med PLLC 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 Fortified Med PLLC was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.