NPIMap

Organization Active NPI

North Carolina Inpatient Medicine Associates PLLC

  • Internal Medicine Physician
  • Henderson, NC
National Provider Identifier
1073769246
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NORTH CAROLINA INPATIENT MEDICINE ASSOCIATES PLLC
Practice address
566 Ruin Creek Rd
Henderson, NC 27536-2927
Phone
(252) 436-1352
Fax
(252) 436-1351
NPI assigned
Aug 7, 2008
Organization subpart
Yes
Parent organization
EAGLE HOSPITAL PHYSICIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Dr. Talbot G McCormick III, MD
Title
VP Clinical Services
Phone
(678) 397-0060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

566 Ruin Creek Rd
Henderson, NC 27536-2927

Mailing address

PO Box 52007
Atlanta, GA 30355-0007
Phone (678) 397-0060

Other identifiers 1

IdentifierTypeStateIssuer
5950118MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
North Carolina Inpatient Medicine Associates PLLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1073769246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52007",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303550007",
            "telephone_number": "678-397-0060",
            "fax_number": "678-397-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 RUIN CREEK RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362927",
            "telephone_number": "252-436-1352",
            "fax_number": "252-436-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA INPATIENT MEDICINE ASSOCIATES PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAGLE HOSPITAL PHYSICIANS",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "TALBOT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VP CLINICAL SERVICES",
        "authorized_official_telephone_number": "678-397-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950118",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.