NPIMap

Organization Active NPI

Physicians East PA

  • Multi-Specialty Clinic/Center
  • Farmville, NC
National Provider Identifier
1033115407
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PHYSICIANS EAST PA
Practice address
3681 N Main St
Farmville, NC 27828-1464
Phone
(252) 753-7141
Fax
(252) 753-5834
NPI assigned
Jun 21, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Hale Hampton Stephenson, M.D.NPI 1174580393
Title
President
Phone
(252) 758-4181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

3681 N Main St
Farmville, NC 27828-1464

Mailing address

3681 N Main St
Farmville, NC 27828-1464
Phone (252) 753-7141

Other identifiers 1

IdentifierTypeStateIssuer
890290TMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Physicians East QMS13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3681 North Main St
Farmville, NC 27828
Phone (252) 753-5567

Practitioners & affiliated clinicians

Practitioners 70

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.

View all 70

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033115407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3681 N MAIN ST",
            "city": "FARMVILLE",
            "state": "NC",
            "postal_code": "278281464",
            "telephone_number": "252-753-7141",
            "fax_number": "252-753-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3681 N MAIN ST",
            "city": "FARMVILLE",
            "state": "NC",
            "postal_code": "278281464",
            "telephone_number": "252-753-7141",
            "fax_number": "252-753-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS EAST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "HALE",
        "authorized_official_middle_name": "HAMPTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-758-4181",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890290T",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.