OrganizationActive
Church Family Medicine, PC
NPI 1053628065 · Family Medicine Physician · Supply, NC
Provider details
- NPI number
- 1053628065
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lori Church, Owner(910) 755-7181
- License
- 200701334 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20 Medical Campus Dr
Suite 203
Supply, NC 28462-4096
Phone: (910) 755-7181
Fax: (910) 755-7194
Street-level locationGet directions
Mailing address
20 Medical Campus Dr
Supply, NC 28462-4096
Registry dates
- Enumerated
- 2010-09-13
- Last updated
- 2010-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.