Active NPI
Kim CHI Quang, D.O.
- Psychiatry Physician
- Goldsboro, NC
National Provider Identifier
1215949227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 200101387
- Practice address
- Cherry Hospital
1401 W. Ash Street
Goldsboro, NC 27530-1078 - Phone
- (919) 581-9608
- NPI assigned
- Aug 12, 2006
- Last updated
- Oct 6, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 200101387 | NC | Primary |
Addresses
Primary practice location
Cherry Hospital
1401 W. Ash Street
Goldsboro, NC 27530-1078
Mailing address
Cherry Hospital
1401 W. Ash Street
Goldsboro, NC 27530-1078
Phone (919) 581-9608
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151218001040 | NC | Order and Referring Only - Psychiatry | 3870553845 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200101387 | NC | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601942400000",
"number": "1215949227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CHERRY HOSPITAL",
"address_2": "1401 W. ASH STREET",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275301078",
"telephone_number": "919-581-9608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CHERRY HOSPITAL",
"address_2": "1401 W. ASH STREET",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275301078",
"telephone_number": "919-581-9608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUANG",
"first_name": "KIM",
"middle_name": "CHI",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2020-10-06",
"certification_date": "2020-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "200101387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goldsboro, NC
- Progressive Healthcare & Counseling Services Inc.
- Christine Veronica Prunty Pittman
- Purpose & Progress Community Services LLC
- Kwesiwa Quaison-Sackey
- Qualityhomecareofn.Cinc.
- Jennifer A. Quinn, M.D.
- Marcie Jean Quinn, PHARM. D.
- Allison Rose Radford, PA-C
- Natalie Ruth Radford
- William H Radford, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.