OrganizationActive
Old Town M.D.
NPI 1417566779 · Internal Medicine Physician · Sanford, NC
Old Town M.D. is a Internal Medicine Physician organization in Sanford, NC (NPI 1417566779).
Provider details
- NPI number
- 1417566779
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Mazzella, President(704) 709-9362
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
500 Westover Dr Ste 10417
Sanford, NC 27330-8941
Phone: (704) 709-9362
Street-level locationGet directions
Mailing address
500 Westover Dr Ste 10417
Sanford, NC 27330-8941
Registry dates
- Enumerated
- 2020-07-23
- Last updated
- 2020-07-23
- Certified
- 2020-07-23
Frequently asked questions
- What is Old Town M.D.'s NPI number?
- Old Town M.D.'s National Provider Identifier (NPI) is 1417566779, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Old Town M.D.?
- Old Town M.D. is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Old Town M.D. located?
- Old Town M.D.'s practice location on file with NPPES is 500 Westover Dr Ste 10417, Sanford, NC 27330-8941.
- What is Old Town M.D.'s phone number?
- The practice phone number listed in the NPPES registry for Old Town M.D. is (704) 709-9362.
- Who is the authorized official for Old Town M.D.?
- The authorized official listed on Old Town M.D.'s NPPES record is William Mazzella, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Old Town M.D.'s NPI active?
- Yes — Old Town M.D.'s NPI (1417566779) is active in the NPPES registry as of the last update on 2020-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.