OrganizationActive
Country Club II
NPI 1316087992 · Lodging Provider · Sophia, NC
Country Club II is a Lodging Provider organization in Sophia, NC (NPI 1316087992).
Provider details
- NPI number
- 1316087992
- Entity type
- Organization
- Primary specialty
- Lodging ProviderOther Service Providers
- Organization subpart
- No
- Authorized official
- Pearlie Bullock, Administrator(336) 674-6293
- License
- FCL076031 (NC)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
4011 Old Courthouse Rd
Sophia, NC 27350-8866
Phone: (336) 674-6293
Street-level locationGet directions
Mailing address
1324 Coltrane Mill Rd
Randleman, NC 27317-8020
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2020-08-22
Frequently asked questions
- What is Country Club II's NPI number?
- Country Club II's National Provider Identifier (NPI) is 1316087992, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Country Club II?
- Country Club II is classified in the NPPES registry as Lodging Provider (Other Service Providers).
- Where is Country Club II located?
- Country Club II's practice location on file with NPPES is 4011 Old Courthouse Rd, Sophia, NC 27350-8866.
- What is Country Club II's phone number?
- The practice phone number listed in the NPPES registry for Country Club II is (336) 674-6293.
- Who is the authorized official for Country Club II?
- The authorized official listed on Country Club II's NPPES record is Pearlie Bullock, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Country Club II's NPI active?
- Yes — Country Club II's NPI (1316087992) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.