SENTARA FAMILY & INTERNAL MEDICINE PHYSICIANS
NPI 1760717763
Family Medicine in Elizabeth City, NC

Active since October 08, 2009CLIA 34D2344330 · Waiver
1507 N ROAD ST, STE 200, ELIZABETH CITY, NC 27909(252) 337-9190(252) 338-6503 Get Directions Write a Review

NPPES record last updated: July 31, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sentara Family & Internal Medicine Physicians NPPES

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

SENTARA FAMILY & INTERNAL MEDICINE PHYSICIANS (NPI 1760717763) is a healthcare organization registered as a family medicine in Elizabeth City, North Carolina and active in the NPI registry since October 2009. The organization holds a CLIA Waiver certificate valid through May 19, 2028 and lists Cindy A Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1760717763
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSENTARA MEDICAL GROUP
Location Address1507 N ROAD ST, STE 200Elizabeth City, NC 27909-3282
Mailing Address1507 N Road St, Ste 200Elizabeth City, NC 27909-3282 · (252) 337-9190 · Fax (252) 338-6503
Fax(252) 338-6503
Organization SubpartNo
Authorized OfficialCindy A TaylorManager · (757) 252-2765
Enumeration DateOctober 8, 2009
Last NPPES UpdateJuly 31, 2015
NPI 1760717763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1507 N ROAD ST, Elizabeth City, NC 27909

Other Names 1

Doing Business AsSentara Family & Internal Medicine Physicians

Other Identifiers 1

Other232011NC · Medicare Group Number

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 34D2344330

Sentara Family & Internal Medicine Physicians Elizabeth City · Elizabeth City, NC
Active · expires May 19, 2028
CLIA Number34D2344330
Laboratory TypePhysician Office
Certificate Effective DateMay 20, 2026
Certificate Expiration DateMay 19, 2028
Laboratory DirectorAldo Dumlao
Laboratory Phone(252) 337-3444
Laboratory LocationSentara Family & Internal Medicine Physicians Elizabeth City1134 N Road Street Building 9B, Elizabeth City, NC 27909
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only 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.

Internal Medicine (Pulmonary Disease)
1507 N ROAD ST, SUITE 1
ELIZABETH CITY, NC 27909
Physician Assistant (Medical)
1507 N ROAD ST, SUITE 2
ELIZABETH CITY, NC 27909
Internal Medicine
1507 N ROAD ST, STE 3
ELIZABETH CITY, NC 27909
Internal Medicine
1507 N ROAD ST, STE 3
ELIZABETH CITY, NC 27909
Internal Medicine
1507 N ROAD ST, SUITE 2
ELIZABETH CITY, NC 27909

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 Sentara Medical Group's NPI number?

The NPI number for Sentara Medical Group is 1760717763. It was assigned to this organization in the NPPES registry on October 8, 2009. The provider is doing business as Sentara Family & Internal Medicine Physicians.

Where is Sentara Medical Group located?

Sentara Medical Group is located at 1507 N Road St Ste 200, Elizabeth City, NC 27909. The listed phone number is (252) 337-9190.

What is Sentara Medical Group's specialty?

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

Does Sentara Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2344330) is associated with this NPI, valid through May 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sentara Medical Group was last updated on July 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.