Active NPI
John B Emery, M.D.
- Internal Medicine Physician
- Raleigh, NC
National Provider Identifier
1194798793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 15059
- Practice address
- 512 E Davie St
Raleigh, NC 27601-1918 - Phone
- (919) 832-2400
- Fax
- (919) 832-5151
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 15059 | NC | Primary |
Addresses
Primary practice location
512 E Davie St
Raleigh, NC 27601-1918
Mailing address
512 E Davie St
Raleigh, NC 27601-1918
Phone (919) 832-2400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7930676 | Medicaid | NC | |
| 30676 | Other | NC | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rex Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Rex Nutrition Services
- Nutrition Education Nutritionist
- Raleigh, NC
- NPI 1821472572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1194798793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 E DAVIE ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276011918",
"telephone_number": "919-832-2400",
"fax_number": "919-832-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 E DAVIE ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276011918",
"telephone_number": "919-832-2400",
"fax_number": "919-832-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERY",
"first_name": "JOHN",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "15059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7930676",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "30676",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.