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Contact Information

FAMILY TREE OB GYN, PA
520 MAPLE AVE
SUITE C
REIDSVILLE, NC27320-4652
 Phone: 336-342-6063
 Fax: 336-342-7847
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for FAMILY TREE OB GYN, PA

NPI Number 1730276890
LBN Legal business name FAMILY TREE OB GYN, PA
Authorized official JOHN FERGUSON - (MD OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/09/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
NC License # 26070
NC Medicaid 89012KH
NC Other 012KH BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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