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BOILING SPRING LAKES FAMILY MEDICINE, PC
NPI 1730275090
Family Medicine in Southport, NC

Active since October 05, 2006CLIA 34D1032686 · Microscopy
3599 GEORGE II HWY, SOUTHPORT, NC 28461(910) 845-3244(910) 845-3276 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Boiling Spring Lakes Family Medicine, Pc NPPES

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

BOILING SPRING LAKES FAMILY MEDICINE, PC (NPI 1730275090) is a healthcare organization registered as a family medicine in Southport, North Carolina and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through October 27, 2026 and lists Domenic A Palagruto, Owner, as its authorized official.

NPPES Registry Identity

NPI1730275090
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBOILING SPRING LAKES FAMILY MEDICINE, PC
Location Address3599 GEORGE II HWYSouthport, NC 28461-7793
Mailing Address3599 George Ii HwySouthport, NC 28461-7793 · (910) 845-3244 · Fax (910) 845-3276
Phone(910) 845-3244
Fax(910) 845-3276
Organization SubpartNo
Authorized OfficialDomenic A PalagrutoOwner · (910) 845-3244
Enumeration DateOctober 5, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1730275090 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.
3599 GEORGE II HWY, Southport, NC 28461
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Other Identifiers 1

Medicaid8913720NC

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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)

Boiling Spring Lakes Family Medicine, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Boiling Spring Lakes Family Medicine, PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Donald Binz, MD
Family Practice
NPI 1043271158
3599 GEORGE II HWY
Southport, NC 28461
(910) 845-3244
✔ PECOS✔ Accepts MedicareSame address
Domenic Palagruto, D.O.
Family Practice
NPI 1215936356
3599 GEORGE II HWY
Southport, NC 28461
(910) 845-3244
✔ PECOS✔ Accepts MedicareSame address
Karen Wood, MD
Family Practice
NPI 1649340902
3599 GEORGE II HWY
Southport, NC 28461
(910) 845-3244
✔ PECOS✔ Accepts MedicareSame address

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) 34D1032686

Boiling Spring Lakes Family Medicine · Boiling Spring Lakes, NC
Active · expires Oct 27, 2026
CLIA Number34D1032686
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2024
Certificate Expiration DateOctober 27, 2026
Laboratory DirectorDomenic A. Palagruto
Laboratory Phone(910) 845-3244
Laboratory LocationBoiling Spring Lakes Family Medicine3599 George II Hwy, Boiling Spring Lakes, NC 28461
CLIA data matches this NPI record on: 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 Boiling Spring Lakes Family Medicine, PC's NPI number?

The NPI number for Boiling Spring Lakes Family Medicine, PC is 1730275090. It was assigned to this organization in the NPPES registry on October 5, 2006.

Where is Boiling Spring Lakes Family Medicine, PC located?

Boiling Spring Lakes Family Medicine, PC is located at 3599 George II Hwy, Southport, NC 28461. The listed phone number is (910) 845-3244.

What is Boiling Spring Lakes Family Medicine, PC's specialty?

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

Is Boiling Spring Lakes Family Medicine, PC enrolled in Medicare?

Yes. Boiling Spring Lakes Family Medicine, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boiling Spring Lakes Family Medicine, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Family Practice, reassign their Medicare billing to Boiling Spring Lakes Family Medicine, PC. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Boiling Spring Lakes Family Medicine, PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D1032686) is associated with this NPI, valid through October 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Boiling Spring Lakes Family Medicine, PC accept?

Health plans from Blue Cross and Blue Shield of NC list Boiling Spring Lakes Family Medicine, PC 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 Boiling Spring Lakes Family Medicine, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.