NPIMap

Organization Active NPI

Onslow Ambulatory Services, Inc

Doing business as Internal Medicine and Primary Care

  • Primary Care Clinic/Center
  • Jacksonville, NC
National Provider Identifier
1063505949
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
AS0039 Issued in NC
Legal business name
ONSLOW AMBULATORY SERVICES, INC
Doing business as
Internal Medicine and Primary Care
Practice address
31 Office Park Dr
Jacksonville, NC 28546-3219
Phone
(910) 346-5016
Fax
(910) 577-4987
NPI assigned
Oct 2, 2006
Last updated
Apr 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Carl Biber
Title
Chief Financial Officer
Phone
(910) 577-2969

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X AS0039 NC Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

31 Office Park Dr
Jacksonville, NC 28546-3219

Mailing address

200 Memorial Dr
Jacksonville, NC 28546-6332
Phone (910) 577-4703

Other names 1

  • Internal Medicine and Primary Care Doing business as

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address sequia.holland@oas.eclinicaldirectplus.com Direct
Direct Messaging Address michael.josilevich@oas.eclinicaldirectplus.com Direct
Direct Messaging Address narender.arcot@oas.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071208000028 NC Part B Supplier - Clinic/Group Practice 4587569256 Receives reassigned benefits from 21 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jacksonville, NC

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0941351Internal Medicine and Primary Care31 Office Park, Jacksonville, NC 28546Certificate of waiverFeb 23, 2028

National Provider Directory

National Provider Directory
Tax ID family
Onslow Ambulatory Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1063505949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEMORIAL DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466332",
            "telephone_number": "910-577-4703",
            "fax_number": "910-577-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 OFFICE PARK DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285463219",
            "telephone_number": "910-346-5016",
            "fax_number": "910-577-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONSLOW AMBULATORY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "BIBER",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "910-577-2969"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "AS0039",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sequia.holland@oas.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "31 Office Park Dr",
            "city": "Jacksonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285463219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.josilevich@oas.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "31 Office Park Dr",
            "city": "Jacksonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285463219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "narender.arcot@oas.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "31 Office Park Dr",
            "city": "Jacksonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285463219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Internal Medicine and Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Internal Medicine and Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.