| North State Medical Center Pa | |
|
609 Professional Dr Roxboro NC 27573 | |
| (336) 599-9257 | |
| (336) 599-2716 |
| Full Name | North State Medical Center Pa |
|---|---|
| Speciality | Physician Assistant |
| Location | 609 Professional Dr, Roxboro, North Carolina |
| Authorized Official Name and Position | Patrick L Godwin (PRESIDENT) |
| Authorized Official Contact | 3365999257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North State Medical Center Pa 609 Professional Dr Roxboro NC 27573 Ph: (336) 599-9257 | North State Medical Center Pa 609 Professional Dr Roxboro NC 27573 Ph: (336) 599-9257 |
| NPI Number | 1538127121 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 02/06/2013 |
| Medicare PECOS PAC ID | 2769380310 |
|---|---|
| Medicare Enrollment ID | O20031222000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538127121 | NPI | - | NPPES |
| 02948 | Other | NC | BCBS/NC |
| 5911497 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Provider Name | Patrick L Godwin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164483483 PECOS PAC ID: 2466350012 Enrollment ID: I20040102000364 |
| Provider Name | James E Winslow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124310180 PECOS PAC ID: 1658364294 Enrollment ID: I20060428000406 |
| Provider Name | Roberts H Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679536064 PECOS PAC ID: 7810909249 Enrollment ID: I20060628000288 |
| Provider Name | William Bellamy Olds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689655292 PECOS PAC ID: 6103966437 Enrollment ID: I20091217000626 |
Freedom House Recovery Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 355 S Madison Blvd, Ste C1, Roxboro, NC 27573 Phone: 336-599-8366 Fax: 336-322-6168 | |
Person Health Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 Ridge Rd, Roxboro, NC 27573 Phone: 336-503-5703 Fax: 336-322-1819 | |
Roxboro Medaccess Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3762 Durham Road, Roxboro, NC 27573 Phone: 336-330-0400 Fax: 336-330-0031 | |
Roxboro Family Medicine & Immediate Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Weeks Dr, Roxboro, NC 27573 Phone: 336-598-5480 Fax: 336-598-5482 | |
Carehere A Premise Health Company Ehealth Center In Partnership With L Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10475 Boston Rd, Roxboro, NC 27574 Phone: 336-439-5480 | |
Med First Immediate Care & Family Practice, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Weeks Dr, Roxboro, NC 27573 Phone: 336-598-5480 Fax: 336-598-5482 | |
Roxboro Family Medicine & Immediate Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3762 Durham Rd, Roxboro, NC 27573 Phone: 336-598-5480 Fax: 336-598-5482 |