Jeffrey F Severa, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

200400743 Issued in NC

Practice address

105 Mark Dr
Edenton, NC 27932-1704

Phone

(252) 482-3047

Fax

(252) 482-5061

NPI assigned

Nov 4, 2005

Sex

Male

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 2

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

Specialty

Internal MedicineAlso: Geriatric Medicine

Education

Lake Erie College of Osteopathic Medicine, Erie, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Universal Health CorporationGroup PAC ID 5597912626, 120 clinicians

Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Centennial Housing and Community Services CorporationGroup PAC ID 3779993837, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospice LLC Hospice, New Bern, NC, CCN 341586
• Liberty Home Care VII, LLC Hospice, Swanquarter, NC, CCN 341605
• Continuum Home Care & Hospice Hospice, Jacksonville, NC, CCN 341582
• Vidant Roanoke Chowan Hospital Hospital, Ahoskie, NC, CCN 340099
• Vidant Chowan Hospital Hospital, Edenton, NC, CCN 341318
• Ecu Health Bertie Hospital Hospital, Windsor, NC, CCN 341304
• Sentara Albemarle Medical Center Hospital, Elizabeth City, NC, CCN 340109
• Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040
• Laurel Park Rehabilitation and Healthcare Center Nursing home, Elizabeth City, NC, CCN 345184
• Three Rivers Health and Rehabilitation Center Nursing home, Windsor, NC, CCN 345404
• Chowan River Nursing and Rehabilitation Center Nursing home, Edenton, NC, CCN 345164
• The Carrolton of Plymouth Nursing home, Plymouth, NC, CCN 345266
• Hertford Rehabilitation and Healthcare Center Nursing home, Hertford, NC, CCN 345262

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Windsor, NC
  • NPI 1881648350

  Operational/Managerial Control

  CMS ownership
• Tar River LTC Group, LLC

  • Skilled Nursing Facility
  • Edenton, NC
  • NPI 1083659692

  Adp of the SNF, Managing Control - Governing Body

  CMS ownership

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.

• Carolina Medical & Management Consultants, PLLC

  • Internal Medicine Physician
  • Edenton, NC
  • NPI 1093018095
  Medicare reassignment NPD Authorized official
• Centennial Housing & Community Services Corporation

  • Emergency Medicine Physician
  • Plymouth, NC
  • NPI 1902412729
  Medicare reassignment Care Compare group NPD
• Rhodium Care Group PLLC

  • Clinical Psychologist
  • Hertford, NC
  • NPI 1699534537
  Medicare reassignment NPD Authorized official
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment Care Compare group NPD
• Universal Health Corporation

  • Internal Medicine Physician
  • Roanoke, VA
  • NPI 1407117625

  NC

  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of North Carolina PLLC

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1164724902
  Medicare reassignment NPD
• Outer Banks Professional Services, LLC

  • Multi-Specialty Clinic/Center
  • Nags Head, NC
  • NPI 1891050357

  Internal Medicine

  Medicare reassignment NPD
• Pai Participant 29, P.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Lexington, NC
  • NPI 1245813757
  Medicare reassignment NPD
• Physicians Eldercare PA

  • General Practice Physician
  • Durham, NC
  • NPI 1023083268
  Medicare reassignment NPD
• Sound Physicians of North Carolina, PLLC

  • Hospitalist Physician
  • Elizabeth City, NC
  • NPI 1346661493

  Internal Medicine

  Medicare reassignment NPD
• Usacs Integrated Acute Care Services of North Carolina, PLLC

  • Internal Medicine Physician
  • Elizabeth City, NC
  • NPI 1437869302
  Medicare reassignment NPD
• Centennial Housing & Community Services Corporation

  • Medicare Defined Swing Bed Hospital Unit
  • Plymouth, NC
  • NPI 1558977371
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Hospice, LLC

  • Community Based Hospice Care Agency
  • New Bern, NC
  • NPI 1891736336
  Care Compare affiliation
• Continuum II Home Care & Hospice, Inc.

  • Community Based Hospice Care Agency
  • Hampstead, NC
  • NPI 1457648909
  Care Compare affiliation
• Continuum II Home Care and Hospice, Inc.

  • Community Based Hospice Care Agency
  • Jacksonville, NC
  • NPI 1841249976
  Care Compare affiliation
• East Carolina Health

  • General Acute Care Hospital
  • Ahoskie, NC
  • NPI 1467441394
  Care Compare affiliation
• East Carolina Health - Chowan Inc

  • Critical Access Hospital
  • Edenton, NC
  • NPI 1477541183
  Care Compare affiliation
• East Carolina Health-Bertie

  • Critical Access Hospital
  • Windsor, NC
  • NPI 1013999705
  Care Compare affiliation
• Hertford Opco LLC

  • Skilled Nursing Facility
  • Hertford, NC
  • NPI 1639818230

  Nursing home

  Care Compare affiliation
• Laurel Park Opco LLC

  • Skilled Nursing Facility
  • Elizabeth City, NC
  • NPI 1578286621

  Nursing home

  Care Compare affiliation
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Windsor, NC
  • NPI 1881648350

  Nursing home

  Care Compare affiliation
• Liberty Healthcare Group, LLC

  • Community Based Hospice Care Agency
  • Swanquarter, NC
  • NPI 1770059057
  Care Compare affiliation
• Pitt County Memorial Hospital Inc

  • General Acute Care Hospital
  • Washington, NC
  • NPI 1780359687
  Care Compare affiliation
• Pitt County Memorial Hospital, Inc

  • General Acute Care Hospital
  • Greenville, NC
  • NPI 1043218944
  Care Compare affiliation

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1215928403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 BAY POINT DR",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279328032",
            "telephone_number": "252-209-3690",
            "fax_number": "252-482-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MARK DR",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279321704",
            "telephone_number": "252-482-3047",
            "fax_number": "252-482-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERA",
        "first_name": "JEFFREY",
        "middle_name": "F",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200400743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "137KR",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89137KR",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amber Jones Sablon, PHARMD
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• Serendipity Professional Counseling, PLLC
• Claire Sikoryak Shields, MD
• Lonnie V Sieck, DDS
• Jori Sienkiewicz, PT
• Laurie Halsey Simmons, LCSW
• Christopher Dewaine Smith, DC

• Internal Medicine Physician in Edenton, NC
• Providers in Edenton, 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 Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.