Active NPI
Pamlico Family Medicine & Wellness Center, PLLC
- Pain Medicine Physician
- Washington, NC
National Provider Identifier
1083005987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 201701
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 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 DirectoryLocations
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
- Becky Winslow Overman, BS, PHARMD, RPH
- Christopher Lee Padgett, O.D.
- William C Padgett, OD
- Pamlico Arms (Washington Manor)
- Pamlico Counseling PLLC
- Pamlico Internal Medicine Associates Inc
- Pamlico Medical Equipment, LLC
- Pamlico Pediatric Therapy
- Pamlico Podiatry Associates PA
- Pamlico River Behavioral Health, PLLC
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.