Organization Active NPI

Med Careeast P a

  • Internal Medicine Physician
  • Greenville, NC
National Provider Identifier
1093904278
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MED CAREEAST P A
Practice address
2485 Hemby LN
D
Greenville, NC 27834-3733
Phone
(252) 758-5888
Fax
(252) 758-9888
NPI assigned
Oct 23, 2007
Last updated
Apr 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Ms. Regina L Hathaway, FNPNPI 1982661930
Title
President/Owner
Phone
(252) 758-5888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2485 Hemby LN
D
Greenville, NC 27834-3733

Mailing address

1425 East Firetower Road
100
Greenville, NC 27858-4131
Phone (252) 758-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071212000772 NC Part B Supplier - Clinic/Group Practice 6305936493 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, NC

National Provider Directory

National Provider Directory

Locations

1425 E Fire Tower Rd
#100
Greenville, NC 27858
Phone (252) 758-5888

2485 Hemby Ln
Ste D
Greenville, NC 27834
Phone (252) 758-5888

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": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1093904278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 EAST FIRETOWER ROAD",
            "address_2": "100",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584131",
            "telephone_number": "252-758-5888",
            "fax_number": "252-758-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 HEMBY LN",
            "address_2": "D",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343733",
            "telephone_number": "252-758-5888",
            "fax_number": "252-758-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED CAREEAST P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "HATHAWAY",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "252-758-5888",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.