OUR TOWN PRIMARY CARE, PLLC
NPI 1639857923
Nurse Practitioner - Family in Ayden, NC
About Our Town Primary Care, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OUR TOWN PRIMARY CARE, PLLC (NPI 1639857923) is a healthcare organization registered as a family in Ayden, North Carolina and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through December 10, 2027 and lists Brandy Jones Galloway, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
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 34D2295378
Our Town Primary Care, PLLC · Ayden, NCOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Our Town Primary Care, PLLC's NPI number?
The NPI number for Our Town Primary Care, PLLC is 1639857923. It was assigned to this organization in the NPPES registry on July 7, 2023.
Where is Our Town Primary Care, PLLC located?
Our Town Primary Care, PLLC is located at 463 Second St, Ayden, NC 28513. The listed phone number is (252) 714-8224.
What is Our Town Primary Care, PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Our Town Primary Care, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2295378) is associated with this NPI, valid through December 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Our Town Primary Care, PLLC was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Our Town Primary Care, Pllc · NPI 1639857923
Family organization in Ayden, North Carolina. Organization record, active in the CMS NPPES registry since July 7, 2023.
## Identity
- **NPI:** 1639857923 (Entity type: Organization)
- **Enumerated:** July 7, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Brandy Galloway, OWNER
## Practice location
- **Address:** 463 SECOND ST, Ayden, NC 28513-7179
- **Phone:** (252) 714-8224
## Record status
- **NPPES last updated:** September 24, 2024
- **Other identifiers:** Other 1043294382
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639857923) · Data from the CMS NPPES public registry.