Healthcare Provider Details

I. General information

NPI: 1952850125
Provider Name (Legal Business Name): A PRIMARY CHOICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2016
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1327 N BRIGHTLEAF BLVD BLDG A
SMITHFIELD NC
27577-7263
US

IV. Provider business mailing address

PO BOX 159
SAINT PAULS NC
28384-0159
US

V. Phone/Fax

Practice location:
  • Phone: 919-634-9696
  • Fax: 919-634-9696
Mailing address:
  • Phone: 910-865-3500
  • Fax: 910-865-3874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY LOCKLEAR
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 910-865-3500