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HOLLY SPRINGS FAMILY PRACTICE
NPI 1346353869
Family Medicine in Pilot Mountain, NC

Active since August 17, 2006CLIA 34D0972771 · Waiver
104 ARARAT LONG HILL RD, PILOT MOUNTAIN, NC 27041(336) 786-7966(336) 786-1601 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holly Springs Family Practice NPPES

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

HOLLY SPRINGS FAMILY PRACTICE (NPI 1346353869) is a healthcare organization registered as a family medicine in Pilot Mountain, North Carolina and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through July 23, 2027 and lists Randall S Keith, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1346353869
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHOLLY SPRINGS FAMILY PRACTICE
Location Address104 ARARAT LONG HILL RDPilot Mountain, NC 27041-8113
Mailing Address104 Ararat Long Hill RdPilot Mountain, NC 27041-8113 · (336) 786-7966 · Fax (336) 786-1601
Phone(336) 786-7966
Fax(336) 786-1601
Organization SubpartNo
Authorized OfficialRandall S KeithMedical Doctor · (336) 786-7966
Enumeration DateAugust 17, 2006
Last NPPES UpdateJune 21, 2018
✔ NPI 1346353869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
104 ARARAT LONG HILL RD, Pilot Mountain, NC 27041
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Other Identifiers 1

Medicaid8948063NC

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 AmeriHealth Caritas Next, 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 34D0972771

Holly Springs Family Practice · Pilot Mountain, NC
Active · expires Jul 23, 2027
CLIA Number34D0972771
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorRandall S. Keith
Laboratory Phone(336) 786-7966
Laboratory LocationHolly Springs Family Practice104 Ararat-Longhill Road, Pilot Mountain, NC 27041
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Holly Springs Family Practice's NPI number?

The NPI number for Holly Springs Family Practice is 1346353869. It was assigned to this organization in the NPPES registry on August 17, 2006.

Where is Holly Springs Family Practice located?

Holly Springs Family Practice is located at 104 Ararat Long Hill Rd, Pilot Mountain, NC 27041. The listed phone number is (336) 786-7966.

What is Holly Springs Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Holly Springs Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0972771) is associated with this NPI, valid through July 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Holly Springs Family Practice accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Holly Springs Family Practice 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 Holly Springs Family Practice was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.