ROXBORO FAMILY MEDICINE & IMMEDIATE
NPI 1619908233
Family Medicine in Roxboro, NC

Active since July 05, 2006
228 S MADISON BLVD, ROXBORO, NC 27573(336) 598-5480(336) 598-5482 Get Directions Write a Review

NPPES record last updated: June 10, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roxboro Family Medicine & Immediate NPPES

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

ROXBORO FAMILY MEDICINE & IMMEDIATE (NPI 1619908233) is a healthcare organization registered as a family medicine in Roxboro, North Carolina and active in the NPI registry since July 2006. The organization lists Lisa P Shock, President, as its authorized official.

NPPES Registry Identity

NPI1619908233
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROXBORO FAMILY MEDICINE & IMMEDIATE
Location Address228 S MADISON BLVDRoxboro, NC 27573-5428
Mailing AddressPo Box 61474Durham, NC 27715-1474 · (919) 544-6318 · Fax (919) 544-6336
Fax(336) 598-5482
Organization SubpartNo
Authorized OfficialLisa P ShockPresident · (336) 598-5480
Enumeration DateJuly 5, 2006
Last NPPES UpdateJune 10, 2009
NPI 1619908233 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.
228 S MADISON BLVD, Roxboro, NC 27573

Other Identifiers 4

Medicare ID-Type Unspecified2331881NC · Medicare Group No
Medicaid5903189NC
Other014M1NC · Bcbs-nc Group No
Medicare NSC6132390001NC

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

Other Providers at the Same Location NPPES 2

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

Physician Assistant (Medical)
228 S MADISON BLVD
ROXBORO, NC 27573
Physician Assistant
228 S MADISON BLVD
ROXBORO, NC 27573

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 Roxboro Family Medicine & Immediate's NPI number?

The NPI number for Roxboro Family Medicine & Immediate is 1619908233. It was assigned to this organization in the NPPES registry on July 5, 2006.

Where is Roxboro Family Medicine & Immediate located?

Roxboro Family Medicine & Immediate is located at 228 S Madison Blvd, Roxboro, NC 27573. The listed phone number is (336) 598-5480.

What is Roxboro Family Medicine & Immediate's specialty?

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

When was this NPI record last updated?

The NPPES record for Roxboro Family Medicine & Immediate was last updated on June 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.