Organization Active NPI

Isaac a Artis Jr MD PA

  • Internal Medicine Physician
  • Greenville, NC
National Provider Identifier
1194888701
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21148 Issued in NC
Legal business name
ISAAC A ARTIS JR MD PA
Practice address
80 Howell St
Greenville, NC 27834-5316
Phone
(252) 756-6986
Fax
(252) 756-1197
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Authorized official

Name
Dr. Isaac Amos Artis Jr., M.D.
Title
President
Phone
(252) 756-6986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 21148 NC Primary

Addresses

Primary practice location

80 Howell St
Greenville, NC 27834-5316

Mailing address

PO Box 7304
Greenville, NC 27835-7304
Phone (252) 756-6986

Other identifiers 2

IdentifierTypeStateIssuer
12037OtherNCBLUE CROSS BLUE SHIELD
8912037MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1194888701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7304",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278357304",
            "telephone_number": "252-756-6986",
            "fax_number": "252-756-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HOWELL ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345316",
            "telephone_number": "252-756-6986",
            "fax_number": "252-756-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAAC A ARTIS JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "ARTIS",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "AMOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-756-6986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "21148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "12037",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912037",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.