Eugenie Marie Komives, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30826 Issued in NC

Practice address

267 S Churton St
Suite 100
Hillsborough, NC 27278-2506

Phone

(919) 732-8131

Fax

(919) 732-6802

NPI assigned

Mar 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Duke University Affiliated Physicians, Inc.

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1316975972

  Family Medicine

  Medicare reassignment NPD
• Duke University Affiliated Physicians, Inc.

  • Emergency Medicine Physician
  • Raleigh, NC
  • NPI 1710120795

  Family Medicine

  NPD
• Duke University Affiliated Physicians, Inc.

  • Family Medicine Physician
  • Hillsborough, NC
  • NPI 1902834658
  NPD

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

{
    "created_epoch": "1331337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1194090035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 S ALSTON AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134430",
            "telephone_number": "919-620-4917",
            "fax_number": "919-620-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 S CHURTON ST",
            "address_2": "SUITE 100",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782506",
            "telephone_number": "919-732-8131",
            "fax_number": "919-732-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMIVES",
        "first_name": "EUGENIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-10",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "30826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8949949",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Marie King, B.S, SLP-ASSISTANT
• Kailey Kirkpatrick, BEHAVIOR TECHNICIAN
• Jonathan Edan Klein, MD
• Hannah Elyse Knotts, M.S. CCC-SLP
• Christopher Koester, LCSW
• Luke Kucko
• Gregory Kuhlman
• L.H.(Sam)Chang,DMD,PA
• L&M Management Services, Inc.
• Chris Yun Lane, PT, DPT

• Family Medicine Physician in Hillsborough, NC
• Providers in Hillsborough, 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 Jan 30, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.