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

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

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

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: August 16, 2026.

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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

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.

Other Providers at the Same Location NPPES 5

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

DR. DONALD EDWARD BINZ II MD

Family Medicine