Active NPI
Debracca King, FNP-C
- Family Nurse Practitioner
- Elizabeth City, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F02250361
- Practice address
- 1134 N Road St
Elizabeth City, NC 27909-3322 - Phone
- (252) 333-1047
- NPI assigned
- Dec 2, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | F02250361 | NC | |
| Family Nurse Practitioner | 363LF0000X | F02250361 | NC | Primary |
Addresses
Primary practice location
1134 N Road St
Elizabeth City, NC 27909-3322
Mailing address
5407 Strasburg Dr
Greensboro, NC 27407-6483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260107004285 | NC | Practitioner - Nurse Practitioner | 7113403346 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5407 Strasburg Dr
Greensboro, NC 27407-6483
PO Box
Suite 297
Gatesville, NC 27938
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F02250361 | NC | MD | Community Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Community Health Centers, Inc | Current | Accepting new patients | |
| Gateway Community Health Centers, Inc. | Family | Current | Accepting new patients |
Locations
1134 N Road St
Elizabeth Cty, NC 27909
Phone (252) 333-1047
501 Main St
Gatesville, NC 27938
Phone (252) 357-0522
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Gateway Community Health Centers Pharmacy Gatesville
- Clinic Pharmacy
- Gatesville, NC
- NPI 1447843370
-
dba Gateway Community Health
- Federally Qualified Health Center (FQHC)
- Elizabeth City, NC
- NPI 1487936514
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1003778580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5407 STRASBURG DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274076483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1134 N ROAD ST",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093322",
"telephone_number": "252-333-1047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "DEBRACCA",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-02",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "NC",
"license": "F02250361",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "F02250361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth City, NC
- Kids First, Inc. Child Advocacy Center
- Jayesh J Kinariwala, MD
- Kindred Nursing Centers East, L.L.C. (Kindred Transitional Care and Rehabilitation-Elizabeth City)
- King Podiatry and Associates PLLC
- King Podiatry and Associates PLLC
- Kathryn Jones King, MD
- Richard Christian King, D.P.M.
- Paul Andrew Kizen, MD
- David Wesley Kleinschuster, PSY. D, M.ED, M.A.
- Holly Demarest Kockler, RN, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.