| Southpoint Family Medicine, Pllc | |
|
1515 W Nc Highway 54 Ste 130 Durham NC 27707-5575 | |
| (984) 219-3916 | |
| (919) 921-8161 |
| Full Name | Southpoint Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1515 W Nc Highway 54 Ste 130, Durham, North Carolina |
| Authorized Official Name and Position | Chrystal Pike (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9842193916 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southpoint Family Medicine, Pllc 1515 W Nc Highway 54 Ste 130 Durham NC 27707-5575 Ph: (984) 219-3916 | Southpoint Family Medicine, Pllc 1515 W Nc Highway 54 Ste 130 Durham NC 27707-5575 Ph: (984) 219-3916 |
| NPI Number | 1306378005 |
|---|---|
| Provider Enumeration Date | 03/31/2017 |
| Last Update Date | 03/31/2017 |
| Medicare PECOS PAC ID | 2769754795 |
|---|---|
| Medicare Enrollment ID | O20170825000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306378005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 225780 (North Carolina) | Primary |
| Provider Name | Hana Aous Alkhaldi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295041937 PECOS PAC ID: 4486892155 Enrollment ID: I20150626000272 |
| Provider Name | Katherine Kulenic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083918841 PECOS PAC ID: 0042519779 Enrollment ID: I20160502002447 |
| Provider Name | Elizabeth Helen Aronin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235676628 PECOS PAC ID: 1759667595 Enrollment ID: I20170411000945 |
| Provider Name | Kate B Mcnulty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093908097 PECOS PAC ID: 4486743937 Enrollment ID: I20180910001926 |
| Provider Name | Tiffany Michelle Cagle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083957971 PECOS PAC ID: 4486941796 Enrollment ID: I20200601002718 |
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