PINEHURST MEDICAL CLINIC, INC.
NPI 1255388369
Internal Medicine in Pinehurst, NC
NPI Status: Active since May 27, 2006
Contact Information
205 PAGE RD
PINEHURST, NC
ZIP 28374
Phone: (910) 295-5511
Fax: (910) 235-3443
- Organization
- Internal Medicine
- Accepts Insurance
- CLIA Number: 34D0901443
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 12-25-2027
About PINEHURST MEDICAL CLINIC, INC.
This page provides the complete NPI Profile along with additional information for Pinehurst Medical Clinic, Inc., an internist established in Pinehurst, North Carolina operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1255388369 assigned on May 2006. The practitioner's primary taxonomy code is 207R00000X with license number 39578 (NC). The provider is registered as an organization and their NPI record was last updated 3 years ago. Pinehurst Medical Clinic, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Brandon Enfinger (Ceo)
- NPI
- 1255388369
- Provider Name
- PINEHURST MEDICAL CLINIC, INC.
- Entity Type
- Organization
- Location Address
- 205 PAGE RD PINEHURST, NC 28374
- Location Phone
- (910) 295-5511
- Location Fax
- (910) 235-3443
- Mailing Address
- 200 PAVILION WAY SOUTHERN PINES, NC 28387
- Mailing Phone
- (910) 295-5511
- Mailing Fax
- (910) 235-3443
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-27-2006
- Last Update Date
- 02-16-2023
- Code Navigator
An internist like Pinehurst Medical Clinic, Inc. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 39578
- License State
- NC
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 39578 (NC) |
| 2 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | 39578 (NC) |
| 3 | 207RC0001X | Allopathic & Osteopathic Physicians | Internal Medicine | 39578 (NC) |
| 4 | 207RE0101X | Allopathic & Osteopathic Physicians | Internal Medicine | 39578 (NC) |
| 5 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | 39578 (NC) |
| 6 | 207RG0300X | Allopathic & Osteopathic Physicians | Internal Medicine | 39578 (NC) |
| 7 | 207RH0003X | Allopathic & Osteopathic Physicians | Internal Medicine | 39578 (NC) |
| 8 | 207RI0011X | Allopathic & Osteopathic Physicians | Internal Medicine | 39578 (NC) |
| 9 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | 39578 (NC) |
| 10 | 207RS0012X | Allopathic & Osteopathic Physicians | Internal Medicine | 39578 (NC) |
| 11 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 39578 (NC) |
| 12 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | 39578 (NC) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Standard Expanded Bronze - HMO
- Standard Gold - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
- Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard A | Nationwide Doctors - PPO
- Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| CC6114 | OTHER (01) | NC | PALMETTO GBA GROUP# |
| NPA775 | OTHER (01) | SC | SC MEDICAID GROUP# |
| 0395360001 | OTHER (01) | NC | DME-PALMETTO GROUP# |
| 8902418 | MEDICAID (05) | NC | |
| 02418 | OTHER (01) | NC | BC/BS NC GROUP # |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D0901443
- Facility Type
- Community Clinic
- Certificate Effective Date
- December 26, 2025
- Certificate Expiration Date
- December 25, 2027
- Laboratory Director
- HOLLY L. JENNER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pinehurst Medical Clinic, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1255388369, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PINEHURST, NC 28374
PINEHURST, NC 28374
PINEHURST, NC 28374
PINEHURST, NC 28374
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255388369, enumerated as an "organization" on May 27, 2006.
The provider is located at 205 PAGE RD PINEHURST, NC 28374 and the phone number is (910) 295-5511.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.
