Eastern Internal Medicine PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2005-00743 Issued in NC

Legal business name

EASTERN INTERNAL MEDICINE PA

Practice address

2635 Tilghman Rd N
Wilson, NC 27896-8904

Phone

(252) 991-2067

Fax

(252) 991-2068

NPI assigned

Oct 15, 2009

Last updated

May 9, 2023By 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

Dr. Jessica H McKee, DONPI 1083637391

Title

President

Phone

(252) 991-2067

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

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

Practitioners 1

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.

• Jessica Heather McKee, D.O.

  • Internal Medicine Physician
  • Wilson, NC
  • NPI 1083637391
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1174858773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 TILGHMAN RD N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968904",
            "telephone_number": "252-991-2067",
            "fax_number": "252-991-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 TILGHMAN RD N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968904",
            "telephone_number": "252-991-2067",
            "fax_number": "252-991-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2023-05-09",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-991-2067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2005-00743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Easter Seals Ucp of North Carolina & Virginia, Inc.
• Easter Seals Ucp of North Carolina & Virginia, Inc.
• Eastern Carolina Pathology Associates PA
• Eastern Carolina Pathology Inc
• Eastern Carolina Pediatrics PA
• Eastern Monitoring Inc
• Eastern NC School for the Deaf
• Eastern North Carolina Medical Group, PLLC
• Eastern North Carolina School for the Deaf
• Eastern Pulmonary & Sleep Medicine

• Internal Medicine Physician in Wilson, NC
• Providers in Wilson, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.