Debra Lee Bateman, FNPC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

600031 Issued in NC

Practice address

334 Mill Creek Rd Ste D
Carthage, NC 28327-6506

Phone

(910) 725-0809

Fax

(910) 725-2018

NPI assigned

May 2, 2008

Last updated

Mar 17, 2018By the provider in NPPES

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

Other identifiers 1

Other names 1

• Debra Lee Jackson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Act Medical Group PA

  • Specialist
  • Wilmington, NC
  • NPI 1245219799
  NPD (past)
• Act Medical Group, PA

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1598982860
  NPD (past)

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1093981706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 MILL CREEK RD STE D",
            "city": "CARTHAGE",
            "state": "NC",
            "postal_code": "283276506",
            "telephone_number": "910-725-0809",
            "fax_number": "910-725-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 MILL CREEK RD STE D",
            "city": "CARTHAGE",
            "state": "NC",
            "postal_code": "283276506",
            "telephone_number": "910-725-0809",
            "fax_number": "910-725-2018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311-4E Judges Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284053655",
            "country_code": "US",
            "telephone_number": "910-791-6767",
            "fax_number": "910-791-6890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311-4E Judges Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284053655",
            "country_code": "US",
            "telephone_number": "910-791-6767",
            "fax_number": "910-791-6890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATEMAN",
        "first_name": "DEBRA",
        "middle_name": "LEE",
        "credential": "FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "600031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004188",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "JACKSON",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Family Nurse Practitioner in Carthage, NC
• Providers in Carthage, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.