MARIA PARHAM PRIMARY CARE
NPI 1720364649
Family Medicine in Henderson, NC

Active since October 24, 2011CLIA 34D0957903 · Microscopy
511 RUIN CREEK RD, SUITE 101, HENDERSON, NC 27536(252) 436-0440(252) 436-0281 Get Directions Write a Review

NPPES record last updated: December 6, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Maria Parham Primary Care NPPES

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

MARIA PARHAM PRIMARY CARE (NPI 1720364649) is a healthcare organization registered as a family medicine in Henderson, North Carolina and active in the NPI registry since October 2011. The organization holds a CLIA Microscopy certificate valid through March 4, 2027 and lists Timothy Vaughn, Vice President, as its authorized official.

NPPES Registry Identity

NPI1720364649
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDLP MARIA PARHAM PHYSICIAN PRACTICES, LLC
Location Address511 RUIN CREEK RD, SUITE 101Henderson, NC 27536-5919
Mailing Address120 Charles Rollins Rd, Suite 206Henderson, NC 27536-2882 · (252) 436-0440 · Fax (252) 436-0281
Fax(252) 436-0281
Organization SubpartNo
Authorized OfficialTimothy VaughnVice President · (252) 436-1674
Enumeration DateOctober 24, 2011
Last NPPES UpdateDecember 6, 2016
✔ NPI 1720364649 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.
511 RUIN CREEK RD, Henderson, NC 27536

Other Names 1

Doing Business AsMaria Parham Primary Care

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maria Parham Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

178

Medicare enrollment records show 178 clinicians reassign Medicare billing to Maria Parham Primary Care, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 33 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 21

Nurse Practitioner32
Obstetrics/Gynecology23
Pediatric Medicine21
Radiation Oncology21
General Surgery16
Cardiovascular Disease (Cardiology)9
Gastroenterology7
Internal Medicine7
13 other specialties42

Nearest to this location (20)

See all 178
Family Practice
NPI 1093226649
511 RUIN CREEK RD STE 101
Henderson, NC 27536
(919) 813-6367
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1205424660
511 RUIN CREEK RD STE 101
Henderson, NC 27536
(252) 436-0440
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1821060583
511 RUIN CREEK RD STE 101
Henderson, NC 27536
(252) 436-0440
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1881383636
511 RUIN CREEK RD STE 101
Henderson, NC 27536
(252) 436-0440
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1275387060
566 RUIN CREEK RD
Henderson, NC 27536
(252) 438-4143
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1124584206
566 RUIN CREEK RD
Henderson, NC 27536
(252) 436-1148
✔ PECOS✔ Accepts Medicare0.1 mi
Hematology/Oncology
NPI 1396966818
566 RUIN CREEK RD
Henderson, NC 27536
(252) 436-1658
✔ PECOS✔ Accepts Medicare0.1 mi
Nephrology
NPI 1124077664
568 RUIN CREEK RD SUITE 006
Henderson, NC 27536
(252) 436-1080
✔ PECOS✔ Accepts Medicare0.2 mi
Physical Medicine and Rehabilitation
NPI 1285630301
568 RUIN CREEK RD SUITE 128
Henderson, NC 27536
(252) 436-1380
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1306217450
568 RUIN CREEK RD SUITE 128
Henderson, NC 27536
(252) 436-1085
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1144321530
568 RUIN CREEK RD SUITE 001
Henderson, NC 27536
(252) 438-7102
✔ PECOS0.2 mi
Cardiovascular Disease (Cardiology)
NPI 1053411165
568 RUIN CREEK RD STE 128
Henderson, NC 27536
(252) 436-1085
✔ PECOS✔ Accepts Medicare0.2 mi
General Surgery
NPI 1649488693
120 CHARLES ROLLINS RD SUITE 206
Henderson, NC 27536
(252) 436-1934
✔ PECOS✔ Accepts Medicare0.3 mi
Gastroenterology
NPI 1740279975
120 CHARLES D ROLLINS RD SUITE 201
Henderson, NC 27536
(252) 430-8111
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1023295185
120 CHARLES ROLLINS RD SUITE 106
Henderson, NC 27536
(252) 436-0440
✔ PECOS0.3 mi
General Surgery
NPI 1548343320
120 CHARLES ROLLINS RD SUITE 206
Henderson, NC 27536
(252) 436-0430
✔ PECOS✔ Accepts Medicare0.3 mi
Urology
NPI 1518058577
120 CHARLES ROLLINS RD STE 105
Henderson, NC 27536
(252) 438-2773
✔ PECOS✔ Accepts Medicare0.3 mi
Orthopedic Surgery
NPI 1932286051
120 CHARLES ROLLINS RD STE 102
Henderson, NC 27536
(252) 436-1314
✔ PECOS✔ Accepts Medicare0.3 mi
General Surgery
NPI 1972686756
120 CHARLES ROLLINS RD SUITE 206
Henderson, NC 27536
(252) 433-0430
0.3 mi
Emergency Medicine
NPI 1528271848
120 CHARLES ROLLINS RD SUITE 102
Henderson, NC 27536
(252) 438-0440
✔ PECOS✔ Accepts Medicare0.3 mi
See all 178 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 for Provider-Performed Microscopy Procedures (PPMP) 34D0957903

Maria Parham Primary Care · Henderson, NC
Active · expires Mar 4, 2027
CLIA Number34D0957903
Laboratory TypePhysician Office
Certificate Effective DateMarch 5, 2025
Certificate Expiration DateMarch 4, 2027
Laboratory DirectorGary Smith
Laboratory Phone(252) 436-0440
Laboratory LocationMaria Parham Primary Care511 Ruin Creek Road, Suite 101, Henderson, NC 27536
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Dlp Maria Parham Physician Practices, LLC's NPI number?

The NPI number for Dlp Maria Parham Physician Practices, LLC is 1720364649. It was assigned to this organization in the NPPES registry on October 24, 2011. The provider is doing business as Maria Parham Primary Care.

Where is Dlp Maria Parham Physician Practices, LLC located?

Dlp Maria Parham Physician Practices, LLC is located at 511 Ruin Creek Rd Suite 101, Henderson, NC 27536. The listed phone number is (252) 436-0440.

What is Dlp Maria Parham Physician Practices, LLC's specialty?

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

Is Dlp Maria Parham Physician Practices, LLC enrolled in Medicare?

Yes. Dlp Maria Parham Physician Practices, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dlp Maria Parham Physician Practices, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 178 clinicians in 21 Medicare specialties reassign their Medicare billing to Dlp Maria Parham Physician Practices, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (32), Obstetrics/Gynecology (23) and Pediatric Medicine (21). Of these, 4 practice at this address and 33 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dlp Maria Parham Physician Practices, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0957903) is associated with this NPI, valid through March 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dlp Maria Parham Physician Practices, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 2 other insurers list Dlp Maria Parham Physician Practices, LLC 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 Dlp Maria Parham Physician Practices, LLC was last updated on December 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.