Archdale Family Practice PA
NPI 1396049060 · Family Medicine Physician · Archdale, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Archdale Family Practice PA is a Family Medicine Physician organization in Archdale, NC (NPI 1396049060).
Provider details
- NPI number
- 1396049060
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Beck, Owner(336) 861-4110
- License
- 30119 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2011-01-10
- Last updated
- 2011-03-11
Frequently asked questions
- What is Archdale Family Practice PA's NPI number?
- Archdale Family Practice PA's National Provider Identifier (NPI) is 1396049060, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Archdale Family Practice PA?
- Archdale Family Practice PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Archdale Family Practice PA located?
- Archdale Family Practice PA's practice location on file with NPPES is 11635 N Main St Ste E, Archdale, NC 27263-3271.
- What is Archdale Family Practice PA's phone number?
- The practice phone number listed in the NPPES registry for Archdale Family Practice PA is (336) 861-4110.
- Does Archdale Family Practice PA accept Medicare?
- Archdale Family Practice PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Archdale Family Practice PA?
- The authorized official listed on Archdale Family Practice PA's NPPES record is Mark Beck, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Archdale Family Practice PA's NPI active?
- Yes — Archdale Family Practice PA's NPI (1396049060) is active in the NPPES registry as of the last update on 2011-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.