Atlantic Pulmonary Associates PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

38977 Issued in NC

Legal business name

ATLANTIC PULMONARY ASSOCIATES PA

Practice address

111A Medical Dr
Elizabeth City, NC 27909-3361

Phone

(252) 331-1506

Fax

(252) 331-2311

NPI assigned

Oct 18, 2005

Last updated

Nov 15, 2013By 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

Albrecht Mark Heyder, M.D.NPI 1073524146

Title

Medical Doctor

Phone

(252) 331-1506

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in NC, VA2 enrollments

Enrollment records 2

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

Practitioners 2

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.

• Albrecht Mark Heyder, MD

  • Specialist
  • Elizabeth City, NC
  • NPI 1073524146

  VA

  Medicare reassignment Care Compare group NPD Authorized official
• Juanita Meads Melko, FNP-C

  • Family Nurse Practitioner
  • Elizabeth City, NC
  • NPI 1396845483
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1194714626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111A MEDICAL DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093361",
            "telephone_number": "252-331-1506",
            "fax_number": "252-331-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111A MEDICAL DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093361",
            "telephone_number": "252-331-1506",
            "fax_number": "252-331-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC PULMONARY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "HEYDER",
        "authorized_official_first_name": "ALBRECHT",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "252-331-1506",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "38977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "227903486",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1311983",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS RAILROAD MEDICA",
            "identifier": "110034885",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5575035",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0195P",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890195P",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF VIRGINIA",
            "identifier": "240099",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arrow Counseling and Wellness
• Kimkya Chinwe Asika, M.D.
• Kelly Ann Atkins
• Atlantic Autism Services, Inc.
• Atlantic Infectious Diseases
• Audacity of Hope
• Jesse Enterline Baccus
• Talyah Badarie
• Nykea Lashawn Bailey, LCMHCA
• Cheryl Overton Baker, PHARMD

• Internal Medicine Physician in Elizabeth City, NC
• Providers in Elizabeth City, 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 Nov 15, 2013; 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.