Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Roxboro Family Medicine & Immediate

Family Medicine Physician in Roxboro, NC · enumerated 2006 · authorized official Lisa Shock, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619908233

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Registry record

Entity type Organization (Type 2)

Legal business name Roxboro Family Medicine & Immediate

Practice address 228 S Madison Blvd, Roxboro, NC, 27573

Phone (336) 598-5480

Fax (336) 598-5482

Enumeration date Jul 5, 2006

Last updated in NPPES Jun 10, 2009

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Lisa Shock

Title President

Phone (336) 598-5480

Other identifiers

Identifier	Type	State	Issuer
014M1	Other	NC	BCBS-NC GROUP NO
5903189	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-06-10. Verify at npiregistry.cms.hhs.gov.

Where is Roxboro Family Medicine & Immediate located?

The practice location on file with NPPES is in Roxboro, NC.

Providers at this address

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Miguel Pineiro Physician Assistant · Roxboro, NC NPI 1891757498 Michele Kessler Medical Physician Assistant · Roxboro, NC NPI 1215161781

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-06-10.