John C Pittman, MD

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

31614 Issued in NC

Practice address

4505 Fair Meadows LN
Raleigh, NC 27607-6465

Phone

(919) 571-4391

Fax

(919) 571-8968

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 12, 2015 through Nov 12, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EAHDAD/Endpoint/EAHDAD

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

• Carolina Center for Integrative Medicine

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Raleigh, NC
  • NPI 1104047877
  NPD (past)
• Wake Medical Associates, P.a.

  • Public Health & General Preventive Medicine Physician
  • Raleigh, NC
  • NPI 1720192651
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1164536363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 FAIR MEADOWS LN",
            "address_2": "SUITE 111",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076465",
            "telephone_number": "919-571-4391",
            "fax_number": "919-571-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 FAIR MEADOWS LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076465",
            "telephone_number": "919-571-4391",
            "fax_number": "919-571-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NC",
            "license": "31614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Pitt, M.D.
• Amber Pittman
• Catherine S Pittman, LPC
• James Carroll Pittman III
• Jana Peoples Pittman, CRNA
• Katina Dial Pittman, DDS
• Lethea Kate Pittman, LCSW, LCAS
• Michaela Pittman, OTR/L
• Summer Pittman, MSW
• William Gibbs Pittman III, M.D.

• Public Health & General Preventive Medicine Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Public Health & General Preventive Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.