1. Home
  2. Directory
  3. North Carolina
  4. Sanford
  5. Specialist
  6. NPI Profile

MID CAROLINA SURGICAL CLINIC PA
NPI 1801001201
Specialist in Sanford, NC

Active since May 11, 2007
709B WICKER ST, SANFORD, NC 27330(919) 775-3321(919) 774-6974 Get Directions Write a Review

NPPES record last updated: June 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mid Carolina Surgical Clinic Pa NPPES

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

MID CAROLINA SURGICAL CLINIC PA (NPI 1801001201) is a healthcare organization registered as a specialist in Sanford, North Carolina and active in the NPI registry since May 2007. The organization lists Michael A Gordon, President, as its authorized official.

NPPES Registry Identity

NPI1801001201
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMID CAROLINA SURGICAL CLINIC PA
Location Address709B WICKER STSanford, NC 27330-4142
Mailing Address709b Wicker StSanford, NC 27330-4142 · (919) 775-3321 · Fax (919) 774-6974
Phone(919) 775-3321
Fax(919) 774-6974
Organization SubpartNo
Authorized OfficialMichael A GordonPresident · (919) 775-3321
Enumeration DateMay 11, 2007
Last NPPES UpdateJune 19, 2008
✔ NPI 1801001201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 13991
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
709B WICKER ST, Sanford, NC 27330
Open in Google Maps ↗

Other Identifiers 5

Medicare ID-Type Unspecified206715A
Other0170CBcbs
Medicaid8936308NC
Other36308Bcbs
Medicare UPIN13991NC

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

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 Mid Carolina Surgical Clinic PA's NPI number?

The NPI number for Mid Carolina Surgical Clinic PA is 1801001201. It was assigned to this organization in the NPPES registry on May 11, 2007.

Where is Mid Carolina Surgical Clinic PA located?

Mid Carolina Surgical Clinic PA is located at 709B Wicker St, Sanford, NC 27330. The listed phone number is (919) 775-3321.

What is Mid Carolina Surgical Clinic PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mid Carolina Surgical Clinic PA was last updated on June 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.