Active NPI
Sean Pumphrey, MSW, LCSW
- Clinical Social Worker
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C002985
- Practice address
- 1204 E Fire Tower Rd
Greenville, NC 27858-4196 - Phone
- (252) 744-1122
- Fax
- (252) 744-1133
- NPI assigned
- Dec 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C002985 | NC | Primary |
Addresses
Primary practice location
1204 E Fire Tower Rd
Greenville, NC 27858-4196
Mailing address
PO Box 751069
Charlotte, NC 28275-1069
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6002359 | Medicaid | NC | |
| 11278 | Other | NC | BCBS PROVIDER NUMBER |
| 562165173 | Other | FED IDENTIFICATION NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | spumphrey1877@direct.ecuhealth.com | Health Information Exchange (HIE) |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1204 E Fire Tower Rd
Greenville, NC 27858-4196
Phone (252) 744-1122
600 Moye Blvd
Greenville, NC 27834-4300
Phone (252) 744-4611
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C002985 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina University | Current | Accepting new patients | |
| East Carolina University | Current | Accepting new patients | |
| Eastern Psychiatric & Behavioral Specialists, PLLC | Clinical | Past | Accepting new patients |
| East Carolina University | Past | Accepting new patients |
Locations
1204 E Fire Tower Rd
Ofc
Greenville, NC 27858
Phone (252) 744-1122
1204 E Fire Tower Rd
Greenville, NC 27858
Phone (252) 744-1122
600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Greenville, NC
- NPI 1972551919
-
- Internal Medicine Physician
- Greenville, NC
- NPI 1043260474
-
- Family Medicine Physician
- Greenville, NC
- NPI 1841248358
-
- Medical Specialty Clinic/Center
- Greenville, NC
- NPI 1558426007
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1013072511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751069",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 E FIRE TOWER RD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278584196",
"telephone_number": "252-744-1122",
"fax_number": "252-744-1133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUMPHREY",
"first_name": "SEAN",
"name_prefix": "Mr.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C002985",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6002359",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "11278",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FED IDENTIFICATION NUMBER",
"identifier": "562165173",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "spumphrey1877@direct.ecuhealth.com",
"affiliation": "N",
"endpointDescription": "ECU Physicians",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1204 E Fire Tower Rd",
"city": "Greenville",
"state": "NC",
"country_code": "US",
"postal_code": "278584196",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.