Carolina Medical & Management Consultants, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

NC200400743 Issued in PA

Legal business name

CAROLINA MEDICAL & MANAGEMENT CONSULTANTS, PLLC

Practice address

229 Bay Point Dr
Edenton, NC 27932-8032

Phone

(252) 339-4525

Fax

(888) 379-3488

NPI assigned

Dec 13, 2010

Last updated

Dec 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey F. Severa, D.O.NPI 1215928403

Title

Owner/Manager

Phone

(252) 339-4525

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jeffrey F. Severa, D.O. Former legal business name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

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.

• Jeffrey F Severa, DO

  • Internal Medicine Physician
  • Edenton, NC
  • NPI 1215928403
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1093018095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279320697",
            "telephone_number": "252-339-4525",
            "fax_number": "888-379-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 BAY POINT DR",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279328032",
            "telephone_number": "252-339-4525",
            "fax_number": "888-379-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA MEDICAL & MANAGEMENT CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "SEVERA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "252-339-4525",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "NC200400743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89137KR",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffrey F. Severa, D.O.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Britthaven of Edenton, Inc. (Britthaven of Edenton)
• Ian Luke Bryan, M.D.
• Joseph Henry Bunch, MA
• Bryan C Bunn, MD
• Courtney Layne Butler, NCCPSS
• Cheryl S Carroll, CRNA
• Kimberly Jones Chalot, NP-C
• Jasmine C. Chesson, LPC
• Chowan Chiropractic Clinic
• Chowan County Department of Social Services

• Internal Medicine Physician in Edenton, NC
• Providers in Edenton, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.