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PRIMARY CARE OF ST. PAULS, LLC
NPI 1699960302
Family Medicine in St. Pauls, NC

Active since September 06, 2007
122 EAST BLUE STREET, ST. PAULS, NC 28384(910) 865-5177(910) 865-9400 Get Directions Write a Review

NPPES record last updated: August 9, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Primary Care Of St. Pauls, Llc NPPES

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

PRIMARY CARE OF ST. PAULS, LLC (NPI 1699960302) is a healthcare organization registered as a family medicine in St. Pauls, North Carolina and active in the NPI registry since September 2007. The organization lists Mohamed B Osman, Owner, as its authorized official.

NPPES Registry Identity

NPI1699960302
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIMARY CARE OF ST. PAULS, LLC
Location Address122 EAST BLUE STREETSt. Pauls, NC 28384
Mailing AddressP O Box 9940Fayetteville, NC 28311-9940 · (910) 865-5177 · Fax (910) 865-9400
Phone(910) 865-5177
Fax(910) 865-9400
Organization SubpartYes
Authorized OfficialMohamed B OsmanOwner · (910) 865-5177
Enumeration DateSeptember 6, 2007
Last NPPES UpdateAugust 9, 2012
✔ NPI 1699960302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2002-01142
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.

122 EAST BLUE STREET, St. Pauls, NC 28384
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Other Identifiers 4

Medicare PIN2345613NC
Medicare UPING24183NC
Medicaid5900350NC
Medicare PIN2313236NC

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Primary Care Of St. Pauls, LLC's NPI number?

The NPI number for Primary Care Of St. Pauls, LLC is 1699960302. It was assigned to this organization in the NPPES registry on September 6, 2007.

Where is Primary Care Of St. Pauls, LLC located?

Primary Care Of St. Pauls, LLC is located at 122 East Blue Street, St. Pauls, NC 28384. The listed phone number is (910) 865-5177.

What is Primary Care Of St. Pauls, LLC'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 Primary Care Of St. Pauls, LLC was last updated on August 9, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.