Pulmonary Clinic of the Carolina'S PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

200101198 Issued in NC

Legal business name

PULMONARY CLINIC OF THE CAROLINA'S PC

Practice address

440 E Long Ave
Gastonia, NC 28054-2527

Phone

(704) 867-8742

Fax

(704) 867-8891

NPI assigned

Nov 14, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Emeka M Eziri, MDNPI 1649251125

Title

Medical Director

Phone

(704) 867-8742

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emeka Michael Eziri, MD

  • Pulmonary Disease Physician
  • Princeton, WV
  • NPI 1649251125

  NC

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1003060286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E LONG AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542527",
            "telephone_number": "704-867-8742",
            "fax_number": "704-867-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E LONG AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542527",
            "telephone_number": "704-867-8742",
            "fax_number": "704-867-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY CLINIC OF THE CAROLINA'S PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "EZIRI",
        "authorized_official_first_name": "EMEKA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "704-867-8742",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "200101198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2292171",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke Prudich, MD
• Amy S Pruett, PHARMD
• Psy'Che' Royal Homecare Services
• Psychiatric Services of Carolinas, P.C.
• Publix North Carolina LP
• Azuree Lenae Purcell, LCSWA
• Tory Yolanda Purcell, SLP
• Tuneko S Purnell
• Purposeful Living
• Cadi Putnam

• Pulmonary Disease Physician in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Pulmonary Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.