Individual provider Active NPI

Ryan Scott King

  • Family Medicine Physician
  • Goldsboro, NC
National Provider Identifier
1023753407
Registry record updated May 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
203556 Issued in NC
Practice address
208 Cox Blvd Ste 102
Goldsboro, NC 27534-9414
Phone
(919) 731-6018
NPI assigned
May 1, 2022
Last updated
May 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 203556 NC Primary

Addresses

Primary practice location

208 Cox Blvd Ste 102
Goldsboro, NC 27534-9414

Mailing address

PO Box 1077
Princeton, NC 27569-1077
Phone (919) 422-0278

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220901003603 NC Practitioner - Nurse Practitioner 0941684385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

625 Country Day Rd
Goldsboro, NC 27530-8888
Phone (919) 731-4048

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
203556NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC Family Medicine CurrentSince Jul 19, 2022 Accepting new patients
Unc Physicians Network LLC Family Medicine Current Accepting new patients
Gibbons Family Medicine Family Medicine Past Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

208 Cox Blvd
Ste 102
Goldsboro, NC 27534
Phone (919) 731-6018

2600 US Highway 70 W
Goldsboro, NC 27530
Phone (919) 739-4808

2607 Medical Office Pl
Ste A
Goldsboro, NC 27534
Phone (919) 739-9060

625 Country Day Rd
Goldsboro, NC 27530
Phone (919) 731-4048

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

4680 US Highway 117 N
Pikeville, NC 27863
Phone (919) 242-5271

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1651363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651363200000",
    "number": "1023753407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1077",
            "city": "PRINCETON",
            "state": "NC",
            "postal_code": "275691077",
            "telephone_number": "919-422-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 COX BLVD STE 102",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349414",
            "telephone_number": "919-731-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "RYAN",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-01",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "203556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.