NPIMap

Organization Active NPI

Physicians East, PA

  • Family Medicine Physician
  • Grifton, NC
National Provider Identifier
1093772600
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
NC AP 0000 1014 Issued in NC
Legal business name
PHYSICIANS EAST, PA
Practice address
416 McCrae Street
Grifton, NC 28530
Phone
(252) 524-5463
Fax
(252) 524-0681
NPI assigned
Apr 27, 2006
Last updated
Apr 29, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
PHYSICIANS EAST, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Mrs. Cindy McGee
Title
Coo
Phone
(252) 752-6101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NC AP 0000 1014 NC Primary

Addresses

Primary practice location

416 McCrae Street
Grifton, NC 28530

Mailing address

1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone (252) 752-6101

Other identifiers 1

IdentifierTypeStateIssuer
890293UMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Physicians East PA13 organizations share this tax ID, including this one
Part of
Physicians East PA

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

416 McCrae St
Grifton, NC 28530
Phone (252) 524-0300

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1093772600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 W ARLINGTON BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345704",
            "telephone_number": "252-752-6101",
            "fax_number": "252-752-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 MCCRAE STREET",
            "city": "GRIFTON",
            "state": "NC",
            "postal_code": "28530",
            "telephone_number": "252-524-5463",
            "fax_number": "252-524-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS EAST, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICIANS EAST, PA",
        "enumeration_date": "2006-04-27",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "MCGEE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "252-752-6101",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "NC AP 0000 1014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890293U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grifton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.