Renita Deloatch Smallwood, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5012051 Issued in NC

Practice address

500 Academy St S
Ahoskie, NC 27910-3261

Phone

(252) 209-3385

NPI assigned

Jul 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Bertie County Rural Health Association 10 clinicians

Vidant Medical Group LLC 986 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vidant Roanoke Chowan Hospital Hospital, Ahoskie, NC, CCN 340099

Merit-based Incentive Payment System (MIPS)

Final score

96.95 of 100Reported as apm

Quality

82.44

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

96.95 of 100Reported as apm

Quality

82.44

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bertie County Rural Health Association

  • Federally Qualified Health Center (FQHC)
  • Windsor, NC
  • NPI 1396886842

  NC

  Medicare reassignment Care Compare group NPD
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731

  NC

  Medicare reassignment Care Compare group NPD
• East Carolina University

  • Family Medicine Physician
  • Greenville, NC
  • NPI 1972551919

  NC

  Medicare reassignment NPD
• Northeastern Orthopedics, PA

  • Orthopaedic Surgery Physician
  • Ahoskie, NC
  • NPI 1821054339

  NC

  Medicare reassignment NPD
• Williamston Clinic Corp

  • Family Medicine Physician
  • Williamston, NC
  • NPI 1811990443

  NC

  Medicare reassignment NPD
• Bertie County Rural Health Association

  • Federally Qualified Health Center (FQHC)
  • Lewiston, NC
  • NPI 1841541877
  Care Compare group NPD
• Vidant Medical Group LLC

  • Ambulatory Surgical Clinic/Center
  • Kinston, NC
  • NPI 1376049619
  Care Compare group
• Vidant Medical Group, LLC

  • Cardiac Rehabilitation Clinic/Center
  • Roanoke Rapids, NC
  • NPI 1750125035
  Care Compare group
• East Carolina University

  • Internal Medicine Physician
  • Greenville, NC
  • NPI 1043260474
  NPD
• Bertie County Rural Health Association

  • Federally Qualified Health Center (FQHC)
  • Windsor, NC
  • NPI 1053577452
  NPD (past)
• Bertie County Rural Health Association

  • Clinic Pharmacy
  • Windsor, NC
  • NPI 1801427711
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• East Carolina Health

  • General Acute Care Hospital
  • Ahoskie, NC
  • NPI 1467441394

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1093369977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 FOREST DRIVE RD",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279109576",
            "telephone_number": "252-642-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ACADEMY ST S",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103261",
            "telephone_number": "252-209-3385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 Academy St S",
            "address_purpose": "LOCATION",
            "city": "Ahoskie",
            "state": "NC",
            "postal_code": "279102451",
            "country_code": "US",
            "telephone_number": "252-209-3911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Smith Church Rd",
            "address_purpose": "LOCATION",
            "city": "Roanoke Rapids",
            "state": "NC",
            "postal_code": "278704914",
            "country_code": "US",
            "telephone_number": "252-535-8463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1230 US Highway 70 E # 1",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285606616",
            "country_code": "US",
            "telephone_number": "252-514-6594",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Stantonsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342818",
            "country_code": "US",
            "telephone_number": "252-744-4757",
            "fax_number": "252-744-5014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALLWOOD",
        "first_name": "RENITA",
        "middle_name": "DELOATCH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsmallwood299797@direct.ecuhealth.com",
            "affiliation": "N",
            "endpointDescription": "ECU Physicians",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2100 Stantonsburg Rd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sessoms Family Care Home
• Eukita Sessoms
• Signature Speech Services PLLC
• Gretchen White Simons, PNP
• Arneise Smallwood
• Tyeisha Nykia Smallwood
• Barbara Baker Smith, LPC
• Solid Foundation Facilities Inc
• Solid Foundation Facilities Inc
• Solid Foundation Facilities, Inc

• All providers in Ahoskie, NC
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.