Columbus Family Medical PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COLUMBUS FAMILY MEDICAL PA

Doing business as

Brunswick Family Medical
Brunswick Family Medical at Ocean Isle Beach

Practice address

712 Village Rd SW Ste 104
Shallotte, NC 28470-3449

Phone

(910) 754-7607

Fax

(910) 754-7608

NPI assigned

Sep 26, 2006

Last updated

Aug 18, 2022By 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

Jim Steed

Title

President

Phone

(910) 234-1686

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 3

• Brunswick Family Medical Doing business as
• Brunswick Family Medical at Ocean Isle Beach Doing business as
• JOSEPH E ROBERTS MD Other name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Columbus Family Medical PA

  • Primary Care Clinic/Center
  • Shallotte, NC
  • NPI 1215597844
  NPPES parent name

Practitioners 10

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.

• Joseph Earl Roberts Jr., M.D.

  • Family Medicine Physician
  • Lumberton, NC
  • NPI 1518955269
  Medicare reassignment Care Compare group NPD
• John A Blake, PA-C

  • Physician Assistant
  • Shallotte, NC
  • NPI 1780726570
  Medicare reassignment Care Compare group
• Kathy Hinman Walker, PHYSICIAN ASST

  • Physician Assistant
  • Calabash, NC
  • NPI 1396746871
  Medicare reassignment Care Compare group
• Meki Jacobs Graham, ANP-C

  • Adult Health Nurse Practitioner
  • Whiteville, NC
  • NPI 1831443993
  Medicare reassignment NPD
• Cathy Marie Sellers, FNPC

  • Nurse Practitioner
  • Calabash, NC
  • NPI 1548239692
  Medicare reassignment NPD
• Amy R. Pharr, APRN, FPMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Callao, VA
  • NPI 1275537037

  NC

  Medicare reassignment NPD
• Kathleen Murphy, PA-C

  • Medical Physician Assistant
  • Shallotte, NC
  • NPI 1386778363
  Medicare reassignment
• Sarah Jean Kasnick, PA-C

  • Physician Assistant
  • Kent, WA
  • NPI 1962826479

  NC

  Medicare reassignment
• Andrea Simmons Nance, FNP

  • Nurse Practitioner
  • Wilmington, NC
  • NPI 1548358898
  NPD (past)
• Rogers Smith Walker Sr., M.D.

  • Family Medicine Physician
  • Little River, SC
  • NPI 1285725408
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1114028859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 859",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284720859",
            "telephone_number": "910-642-9800",
            "fax_number": "910-642-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 VILLAGE RD SW STE 104",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284703449",
            "telephone_number": "910-754-7607",
            "fax_number": "910-754-7608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Seaside Rd SW Ste 2",
            "address_purpose": "LOCATION",
            "city": "Ocean Isle Beach",
            "state": "NC",
            "postal_code": "284695410",
            "country_code": "US",
            "telephone_number": "910-575-0281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLUMBUS FAMILY MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "STEED",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-234-1686"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902118",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brunswick Family Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brunswick Family Medical at Ocean Isle Beach",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JOSEPH E ROBERTS MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Coastal Pointe Senior Living LLC
• Rebecca Ann Cobb, DPT
• Kelly Collier, PA
• Andrew Bryant Collins, APRN
• Kenneth Charles Colston
• Columbus Family Medical PA
• Brandee Condon, SLP
• Amanda Andrews Conway, PHARM D
• Elizabeth J Cooke, O.D.
• Joshua Copeland, PT, DPT

• Family Medicine Physician in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.