Boiling Spring Lakes Family Medicine, PC
NPI 1730275090 · Family Medicine Physician · Southport, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Boiling Spring Lakes Family Medicine, PC is a Family Medicine Physician organization in Southport, NC (NPI 1730275090).
Provider details
- NPI number
- 1730275090
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Domenic Palagruto, Owner(910) 845-3244
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
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
Mailing address
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2020-08-22
Frequently asked questions
- What is Boiling Spring Lakes Family Medicine, PC's NPI number?
- Boiling Spring Lakes Family Medicine, PC's National Provider Identifier (NPI) is 1730275090, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boiling Spring Lakes Family Medicine, PC?
- Boiling Spring Lakes Family Medicine, PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Boiling Spring Lakes Family Medicine, PC located?
- Boiling Spring Lakes Family Medicine, PC's practice location on file with NPPES is 3599 George II Hwy, Southport, NC 28461-7793.
- What is Boiling Spring Lakes Family Medicine, PC's phone number?
- The practice phone number listed in the NPPES registry for Boiling Spring Lakes Family Medicine, PC is (910) 845-3244.
- Does Boiling Spring Lakes Family Medicine, PC accept Medicare?
- Boiling Spring Lakes Family Medicine, PC 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 Boiling Spring Lakes Family Medicine, PC?
- The authorized official listed on Boiling Spring Lakes Family Medicine, PC's NPPES record is Domenic Palagruto, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boiling Spring Lakes Family Medicine, PC's NPI active?
- Yes — Boiling Spring Lakes Family Medicine, PC's NPI (1730275090) 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.