FARMVILLE INTERNAL MEDICINE PA
NPI 1710942610
Family Medicine in Farmville, NC

Active since April 20, 2006CLIA 34D0241882 · Waiver
3485 N MAIN ST, FARMVILLE, NC 27828(252) 753-3193(252) 753-7966 Get Directions Write a Review

NPPES record last updated: April 20, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Farmville Internal Medicine Pa NPPES

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

FARMVILLE INTERNAL MEDICINE PA (NPI 1710942610) is a healthcare organization registered as a family medicine in Farmville, North Carolina and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through September 26, 2027 and lists Ricardo Enrique Marana, President, as its authorized official.

NPPES Registry Identity

NPI1710942610
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFARMVILLE INTERNAL MEDICINE PA
Location Address3485 N MAIN STFarmville, NC 27828-1466
Mailing Address3485 N Main StFarmville, NC 27828-1466 · (252) 753-3193 · Fax (252) 753-7966
Fax(252) 753-7966
Organization SubpartNo
Authorized OfficialRicardo Enrique MaranaPresident · (252) 753-3193
Enumeration DateApril 20, 2006
Last NPPES UpdateApril 20, 2009
NPI 1710942610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 20000090
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.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License 200000090 (NC)
3485 N MAIN ST, Farmville, NC 27828

Other Identifiers 6

Other126A3NC · Blue Cross Blue Shield
Medicaid89126A3NC
OtherP00379704NC · Railroad Medicare (pin)
Medicare UPINH16338NC
OtherDF6187NC · Railroad Medicare (group Number)
Medicare PIN2336381NC

Accepted 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 34D0241882

Farmville Internal Medicine PA · Farmville, NC
Active · expires Sep 26, 2027
CLIA Number34D0241882
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2025
Certificate Expiration DateSeptember 26, 2027
Laboratory DirectorKenneth M. Lovette
Laboratory Phone(252) 753-3193
Laboratory LocationFarmville Internal Medicine PA3485 N Main Street, Farmville, NC 27828
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner
3485 N MAIN ST
FARMVILLE, NC 27828
Family Medicine
3485 N MAIN ST
FARMVILLE, NC 27828
Nurse Practitioner
3485 N MAIN ST
FARMVILLE, NC 27828
General Practice
3485 N MAIN ST
FARMVILLE, NC 27828

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 Farmville Internal Medicine PA's NPI number?

The NPI number for Farmville Internal Medicine PA is 1710942610. It was assigned to this organization in the NPPES registry on April 20, 2006.

Where is Farmville Internal Medicine PA located?

Farmville Internal Medicine PA is located at 3485 N Main St, Farmville, NC 27828. The listed phone number is (252) 753-3193.

What is Farmville Internal Medicine PA's specialty?

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

Does Farmville Internal Medicine PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0241882) is associated with this NPI, valid through September 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Farmville Internal Medicine PA accept?

Health plans from Blue Cross and Blue Shield of NC list Farmville Internal Medicine PA 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 Farmville Internal Medicine PA was last updated on April 20, 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.