Individual provider Active NPI

Sean M Epps, PAC

  • Physician Assistant
  • Rocky Mount, NC
National Provider Identifier
1184625303
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
104076 Issued in NC
Practice address
1041 Noell LN
Suite 105
Rocky Mount, NC 27804-2058
Phone
(252) 451-2700
Fax
(252) 451-2702
NPI assigned
Aug 10, 2005
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 104076 NC Primary

Addresses

Primary practice location

1041 Noell LN
Suite 105
Rocky Mount, NC 27804-2058

Mailing address

2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442

Other identifiers 2

IdentifierTypeStateIssuer
7650718OtherNCAETNA ID
D6930OtherNCMEDCOST ID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sepps140840@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041105000820 NC Practitioner - Physician Assistant 7911960455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Brody School of Medicine at East Carolina University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

220 Nash Medical Arts Mall
Rocky Mount, NC 27804-1470
Phone (252) 962-4550

250 Nash Medical Arts Mall
Rocky Mount, NC 27804-1470

9120 Willow Ridge Rd
Charlotte, NC 28210-8313
Phone 82877452220027

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone (919) 942-5123

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
104076NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network, LLC CurrentSince Feb 15, 2020 Accepting new patients
Unc Physicians Network LLC CurrentSince Feb 15, 2020 Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

155 Nashville Commons Dr
Nashville, NC 27856
Phone (252) 453-7769

1041 Noell Ln
Ste 105
Rocky Mount, NC 27804
Phone (252) 442-9600

250 Nash Medical Arts Mall
#D
Rocky Mount, NC 27804
Phone (252) 937-4100

Interoperability endpoints

  • Direct secure messaging: sepps140840@direct.unc.nchie.net

Organizations & group practices 4

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 7

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1184625303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PERIMETER PARK DR STE 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 NOELL LN",
            "address_2": "SUITE 105",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042058",
            "telephone_number": "252-451-2700",
            "fax_number": "252-451-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPS",
        "first_name": "SEAN",
        "middle_name": "M",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "104076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "7650718",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST ID",
            "identifier": "D6930",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sepps140840@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1041 Noell Ln",
            "address_2": "Suite 105",
            "city": "Rocky Mount",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278042058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

Verify at the official NPI Registry.