NPIMap

Individual provider Active NPI

Philip Veatch, MD

  • Internal Medicine Physician
  • Albemarle, NC
National Provider Identifier
1174503718
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35219 Issued in NC
Practice address
1908 Hilco St, Suite B
Suite B
Albemarle, NC 28001-6307
Phone
(704) 983-3855
Fax
(704) 985-1031
NPI assigned
Jan 19, 2006
Last updated
Jul 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35219 NC Primary

Addresses

Primary practice location

1908 Hilco St, Suite B
Suite B
Albemarle, NC 28001-6307

Mailing address

1908 Hilco St
Suite B
Albemarle, NC 28001-6307
Phone (704) 983-3855

Other identifiers 4

IdentifierTypeStateIssuer
890105EMedicaidNC
110151715OtherRAILROAD MEDICARE
4633508OtherAETNA
84978OtherNCBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100816000450 NC Practitioner - Internal Medicine 1052363462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Carolina Medical Associates PAGroup PAC ID 7416909825, 3 clinicians

Practice addresses (Care Compare)

1908 Hilco St
Suite B
Albemarle, NC 28001-6388
Phone (704) 983-3855

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central Carolina Medical Associates, PA Internal Medicine CurrentSince Jul 7, 1997 Accepting new patients
Hospice of Stanly County, Inc. PastSince Nov 2, 2020 Accepting new patients

Locations

1908 Hilco St
Ste B
Albemarle, NC 28001
Phone (704) 983-3855

Interoperability endpoints

  • Direct secure messaging: philip.veatch.1@26982.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1174503718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 HILCO ST",
            "address_2": "SUITE B",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280016307",
            "telephone_number": "704-983-3855",
            "fax_number": "704-985-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 HILCO ST, SUITE B",
            "address_2": "SUITE B",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280016307",
            "telephone_number": "704-983-3855",
            "fax_number": "704-985-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEATCH",
        "first_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "35219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890105E",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110151715",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4633508",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "84978",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

Verify at the official NPI Registry.