Patriotmed of North Carolina, P.C.
NPI 1407668908ActiveOrganization· Radiology, Diagnostic Radiology· Fayetteville, NC
Radiology, Diagnostic Radiology in Fayetteville, North Carolina, registered in NPPES in January 2025. The authorized official on file is Robert Scott Thornock, Chief Strategy Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407668908 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 22, 2025 |
| Last updated in NPPES | Apr 21, 2026 |
| Certified by provider | Apr 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
| Radiologic Technologist | 247100000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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