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Chicora Medical Group PA

Chicora Medical Group PA is a healthcare organization registered as Family Medicine Physician in Supply, NC, holding Type 2 (organization) NPI 1881663227 since 2006. The authorized official on file is Bernard Langston, President.

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NPI 1881663227
Entity type Organization (Type 2)
Legal business name Chicora Medical Group PA
Other name <Unavail>
Practice address 20 MEDICAL CAMPUS DR, STE 106B, Supply, NC, 28462
Phone 9107548600
Fax 9107552364
Enumeration date 2006-03-17
Last updated in NPPES 2008-03-11

Authorized official

Name Bernard Langston
Title President
Phone 9107548731

Taxonomy & classification

Taxonomy code Specialty Primary License State
207Q00000X Family Medicine Physician Primary

Other identifiers

Identifier Type State Issuer
5900666 Medicaid NC
Copy-ready billing details
Provider: Chicora Medical Group PA
NPI: 1881663227
Taxonomy: 207Q00000X (Family Medicine Physician)
Address: 20 MEDICAL CAMPUS DR, STE 106B, Supply, NC, 28462

Providers at this address

NPI Name Type Specialty Location
1861489734 Richard Leighton Individual Orthopaedic Surgery Physician Supply, NC
1861461204 Ucb Properties LLC Organization Family Medicine Physician Supply, NC
1194771717 Independent Nephrology Services, Inc. Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center Supply, NC
1750337044 Carolina Healthcare Products, Inc Organization Durable Medical Equipment & Medical Supplies Supply, NC
1437180726 Leighton Orthopaedics and Sports Medicine P.C. Organization Sports Medicine (Orthopaedic Surgery) Physician Supply, NC
1790892081 Diane Ballerino-Regan Individual Obstetrics & Gynecology Physician Supply, NC
1376649830 Atlantic Urology PC Organization Urology Physician Supply, NC
1144321258 Brandon E. Devito, DDS, Pllc Organization General Practice Dentistry Supply, NC

Verify this record

Cross-check NPI 1881663227 against the authoritative CMS record: view Chicora Medical Group PA on the official NPPES registry .

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. Read the full guide or validate an NPI number.

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 2008-03-11. Verify at npiregistry.cms.hhs.gov.
Where is Chicora Medical Group PA located?
The practice location on file with NPPES is in Supply, NC.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-03-11.