Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Longevity Clinical Ltc Associates of North Carolina PLLC

Organization Family Medicine Physician · NPI 1154907855

Longevity Clinical Ltc Associates of North Carolina PLLC provides Family Medicine Physician services in Salisbury, North Carolina. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

635 Statesville Blvd
Salisbury, NC 28144-2201
Phone: (704) 633-7390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X
Family Medicine Physician Taxonomy 207Q00000X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X
Gerontology Nurse Practitioner Taxonomy 363LG0600X

Record details

NPI number1154907855
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Whybrew — Market President, Lhp Oklahoma · (918) 859-5334
NPI enumeratedMarch 23, 2021
Last updated in NPPESMarch 23, 2021
Certification dateMarch 18, 2021
Mailing address11770 Us 1 Ste 101, Palm Beach Gardens, FL 33408-3000

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