Meagan Lauren Phelps, C.PED

Individual provider Active NPI Orthotic Fitter · Belhaven, NC

NPI 1073845152 · NPPES record last updated Feb 1, 2010

Key facts

NPI
1073845152
Entity type
Individual (NPI type 1)
Primary specialty
Orthotic Fitter 225000000X
License
CPED3326 (NC)
Practice address
892 US Highway 264 Byp
Belhaven, NC 27810-9771
Phone
(252) 943-2307
Fax
(252) 943-3076
NPI assigned
Feb 1, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CPED3326NCMDOrthotic Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Pungo River Pharmacy Inc Past Accepting new patients
Pungo River Pharmacy Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X CPED3326 NC Yes

Addresses

Primary practice location

892 US Highway 264 Byp
Belhaven, NC 27810-9771

Mailing address

892 US Highway 264 Byp
Belhaven, NC 27810-9771
Phone (252) 943-2307

Other providers in Belhaven, NC

All providers in Belhaven, NC · Orthotic Fitter in North Carolina

Sources for this page

Verify at the official NPI Registry.