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Chicora Medical Group PA

Family Medicine Physician in Supply, NC · enumerated 2006 · authorized official Bernard Langston, President.

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

National Provider Identifier

1881663227

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Registry record

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
Fax (910) 755-2364
Enumeration date Mar 17, 2006
Last updated in NPPES Mar 11, 2008

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Bernard Langston
Title President

Other identifiers

Identifier Type State Issuer
5900666 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 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.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-03-11.