Organization Active NPI

Pamlico Family Medicine & Wellness Center, PLLC

  • Pain Medicine Physician
  • Washington, NC
National Provider Identifier
1083005987
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
201701 Issued in NC
Legal business name
PAMLICO FAMILY MEDICINE & WELLNESS CENTER, PLLC
Practice address
1203 Carolina Ave
Washington, NC 27889-3571
Phone
(252) 623-2116
Fax
(252) 833-0230
NPI assigned
Feb 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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

Authorized official

Name
Amanda C Bunch, FNP
Title
Owner/Family Nurse Practitioner
Phone
(252) 944-3867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 201701 NC Primary

Addresses

Primary practice location

1203 Carolina Ave
Washington, NC 27889-3571

Mailing address

1203 Carolina Ave
Washington, NC 27889-3571
Phone (252) 623-2116

National Provider Directory

National Provider Directory

Locations

1203 Carolina Ave
Washington, NC 27889
Phone (252) 623-2116

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1083005987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 CAROLINA AVE",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893571",
            "telephone_number": "252-623-2116",
            "fax_number": "252-833-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 CAROLINA AVE",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893571",
            "telephone_number": "252-623-2116",
            "fax_number": "252-833-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMLICO FAMILY MEDICINE & WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "BUNCH",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "252-944-3867",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NC",
            "license": "201701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.