SANFORD MEDICAL GROUP, P.A. - NPI 1972550903

Q: What is Sanford Medical Group, P.A.'s NPI number?

The NPI number for Sanford Medical Group, P.A. is 1972550903. It was assigned to this organization in the NPPES registry on May 27, 2006.

Q: What is Sanford Medical Group, P.A.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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About Sanford Medical Group, P.a. NPPES

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

SANFORD MEDICAL GROUP, P.A. (NPI 1972550903) is a healthcare organization registered as a pediatrics in Sanford, North Carolina and active in the NPI registry since May 2006. The organization lists John Rowland Mangum, President, as its authorized official.

NPPES Registry Identity

NPI1972550903

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameSANFORD MEDICAL GROUP, P.A.

Location Address555 CARTHAGE STSanford, NC 27330-4104

Mailing Address555 Carthage StSanford, NC 27330-4104 · (919) 774-6518 · Fax (919) 774-1831

Phone(919) 774-6518

Fax(919) 774-1831

Organization SubpartNo

Authorized OfficialJohn Rowland MangumPresident · (919) 774-6518

Enumeration DateMay 27, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1972550903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Other Identifiers 2

Medicaid8902610NC

Other02610NC · Bcbs Group Provider Numbe

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

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

KENDRA NICOLE BRANDT PA-C

Physician Assistant (Medical)