Active NPI
Eastern Carolina Geriatric Associates and Family Care Center PLLC
- Family Medicine Physician
- Powellsville, NC
National Provider Identifier
1003057696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36700
- Legal business name
- EASTERN CAROLINA GERIATRIC ASSOCIATES AND FAMILY CARE CENTER PLLC
- Practice address
- 105 Commerce Street
Powellsville, NC 27967-0040 - Phone
- (252) 332-6484
- Fax
- (252) 332-1660
- NPI assigned
- Mar 12, 2009
- Last updated
- Mar 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven Wallace Ferguson, M.D.
- Title
- President
- Phone
- (252) 332-6484
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36700 | NC | Primary |
Addresses
Primary practice location
105 Commerce Street
Powellsville, NC 27967-0040
Mailing address
105 Commerce Street
PO Box 40
Powellsville, NC 27967
Phone (252) 332-6484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8931664 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Eastern Carolina Geriatric Associates Family Care Ctr PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rural Health Clinic/Center
- Powellsville, NC
- NPI 1962660472
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Powellsville, NC
- NPI 1295788628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236816000000",
"number": "1003057696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 COMMERCE STREET",
"address_2": "PO BOX 40",
"city": "POWELLSVILLE",
"state": "NC",
"postal_code": "27967",
"telephone_number": "252-332-6484",
"fax_number": "252-332-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 COMMERCE STREET",
"city": "POWELLSVILLE",
"state": "NC",
"postal_code": "279670040",
"telephone_number": "252-332-6484",
"fax_number": "252-332-1660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN CAROLINA GERIATRIC ASSOCIATES AND FAMILY CARE CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-12",
"last_updated": "2009-03-12",
"status": "A",
"authorized_official_last_name": "FERGUSON",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "WALLACE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "252-332-6484",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NC",
"license": "36700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8931664",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Powellsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.