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ACCESS MEDICAL CLINIC NORTH CAROLINA PLLC
NPI 1205596962
Clinic/Center - Rural Health in Laurel Hill, NC

Active since December 22, 2021CLIA 34D2249504 · Waiver
18901 IDA MILL RD, LAUREL HILL, NC 28351(870) 856-1202(870) 856-2107 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 11, 2023, Dec 1, 2022, Oct 21, 2022 and 1 more (4 updates tracked since 2021).

About Access Medical Clinic North Carolina Pllc NPPES

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

ACCESS MEDICAL CLINIC NORTH CAROLINA PLLC (NPI 1205596962) is a healthcare organization registered as a rural health in Laurel Hill, North Carolina and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through January 19, 2028 and lists Bradley Ray Bibb, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1205596962
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameACCESS MEDICAL CLINIC NORTH CAROLINA PLLC
Location Address18901 IDA MILL RDLaurel Hill, NC 28351-8326
Mailing Address4196 Highway 62 412 Ste AHardy, AR 72542-8002 · (870) 856-1202 · Fax (870) 856-2107
Phone(870) 856-1202
Fax(870) 856-2107
Organization SubpartNo
Authorized OfficialBradley Ray BibbOwner/ceo · (870) 856-1202
Enumeration DateDecember 22, 2021
Last NPPES UpdateApril 11, 20234 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
✔ NPI 1205596962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
18901 IDA MILL RD, Laurel Hill, NC 28351
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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

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 34D2249504

Access Medical Clinic North Carolina PLLC · Laurel Hill, NC
Active · expires Jan 19, 2028
CLIA Number34D2249504
Laboratory TypePhysician Office
Certificate Effective DateJanuary 20, 2026
Certificate Expiration DateJanuary 19, 2028
Laboratory DirectorMark S. Hahn
Laboratory Phone(910) 462-2707
Laboratory LocationAccess Medical Clinic North Carolina PLLC18901 Ida Mill Rd, Laurel Hill, NC 28351
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 4

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

LAUREL HILL MEDICAL CLINIC PC
Clinic/Center (Rural Health)
18901 IDA MILL RD
LAUREL HILL, NC 28351
Scotland County (910) 462-2707
JENNIFER RENAE BULLARD NP-C
Nurse Practitioner (Family)
18901 IDA MILL RD
LAUREL HILL, NC 28351
Scotland County (910) 462-2707
MRS. DIXIE LEE BHIRO PA
Physician Assistant
18901 IDA MILL RD
LAUREL HILL, NC 28351
Scotland County (910) 462-2707
MR. THAKURDEO MICHAEL BHIRO PA
Physician Assistant
18901 IDA MILL RD
LAUREL HILL, NC 28351
Scotland County (910) 462-2707

Frequently Asked Questions

What is ACCESS MEDICAL CLINIC NORTH CAROLINA PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1205596962, enumerated as an "organization" on December 22, 2021.

Where is the provider located?

The provider is located at 18901 IDA MILL RD LAUREL HILL, NC 28351 and the phone number is (870) 856-1202.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.