Scotland Neck Family Medical Center, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SCOTLAND NECK FAMILY MEDICAL CENTER, INC.

Practice address

919 Jr High School Rd
Scotland Neck, NC 27874-1219

Phone

(252) 826-3143

Fax

(252) 826-3110

NPI assigned

Sep 17, 2005

Last updated

Aug 22, 2020By 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

Mr. Robert F Shields

Title

Chairman of Board

Phone

(252) 826-4442

Specialties & licenses 1

Addresses

Other identifiers 3

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.

• Joseph E Giddings III, PA

  • Medical Physician Assistant
  • Scotland Neck, NC
  • NPI 1861493041
  NPD (past)
• Joseph Ray Warren Jr., PA

  • Medical Physician Assistant
  • Fremont, NC
  • NPI 1992804587
  NPD (past)

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

{
    "created_epoch": "1126915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164417952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540",
            "city": "SCOTLAND NECK",
            "state": "NC",
            "postal_code": "278740540",
            "telephone_number": "252-826-3143",
            "fax_number": "252-826-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 JR HIGH SCHOOL RD",
            "city": "SCOTLAND NECK",
            "state": "NC",
            "postal_code": "278741219",
            "telephone_number": "252-826-3143",
            "fax_number": "252-826-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTLAND NECK FAMILY MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHAIRMAN OF BOARD",
        "authorized_official_telephone_number": "252-826-4442",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "0234G",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-CIGNA",
            "identifier": "2804404",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34-3924A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Our Community Hospital, Inc
• Emily Grace Polhamus, APRN
• Kimberlyn C Richardson
• Rural Carolina Ambulance Service, LLC
• Rural Health Group, Inc. (Rural Health Group at Scotland Neck)
• Scotland Neck NC Opco LLC (Scotland Manor Health and Rehabilitation Center)
• Christopher A Smith, PHARM.D
• Susan Bullard Staton, P.T.
• Wandalyn Isaac Teague, LPC/NCC
• United Medical Supplies Inc

• Family Medicine Physician in Scotland Neck, NC
• Providers in Scotland Neck, 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 22, 2020; 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.