Provider Demographics
NPI:1740363621
Name:NEW HOPE FAMILY MEDICINE P.A.
Entity type:Organization
Organization Name:NEW HOPE FAMILY MEDICINE P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:REGGIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:PARLIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-853-3314
Mailing Address - Street 1:PO BOX 551028
Mailing Address - Street 2:2544 COURT DRIVE STE D
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28055-1028
Mailing Address - Country:US
Mailing Address - Phone:704-853-3314
Mailing Address - Fax:704-853-7922
Practice Address - Street 1:2544 COURT DR STE D
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-3478
Practice Address - Country:US
Practice Address - Phone:704-853-3314
Practice Address - Fax:704-853-7922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33113207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89012YNMedicaid
NC89012YNMedicaid
NC2324483Medicare PIN