NPIMap

Organization Active NPI

Ahoskie Adult Medicine Clinic, PLLC

  • Primary Care Clinic/Center
  • Ahoskie, NC
National Provider Identifier
1215325279
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
20100 Issued in NC
Legal business name
AHOSKIE ADULT MEDICINE CLINIC, PLLC
Practice address
233 South St W
Ahoskie, NC 27910-3335
Phone
(125) 233-2333
Fax
(252) 332-3350
NPI assigned
Dec 29, 2014
Last updated
May 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Authorized official

Name
Dr. Charles BeauchampNPI 1962593525
Title
Owner
Phone
(919) 967-9932

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 20100 NC Primary

Addresses

Primary practice location

233 South St W
Ahoskie, NC 27910-3335

Mailing address

233 South St W
Ahoskie, NC 27910-3335
Phone (125) 233-2333

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8267/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1215325279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 SOUTH ST W",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103335",
            "telephone_number": "125-233-2333",
            "fax_number": "252-332-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 SOUTH ST W",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103335",
            "telephone_number": "125-233-2333",
            "fax_number": "252-332-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHOSKIE ADULT MEDICINE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "BEAUCHAMP",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-967-9932",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "20100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ahoskie, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.