Individual provider Active NPI

Beatrice Guadalupe Zepeda, M.D.

  • Pediatric Critical Care Medicine Physician
  • Greenville, NC
National Provider Identifier
1235353954
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
2012-01731 Issued in NC
Practice address
600 Moye Blvd
Ecu Physicians Neonatology
Greenville, NC 27834-4300
Phone
(252) 744-0766
Fax
(252) 744-0392
NPI assigned
Apr 12, 2007
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2012-1731 NC
Pediatric Critical Care Medicine Physician 2080P0203X 116685 MT
Pediatric Critical Care Medicine Physician 2080P0203X 2012-01731 NC Primary

Addresses

Primary practice location

600 Moye Blvd
Ecu Physicians Neonatology
Greenville, NC 27834-4300

Mailing address

PO Box 751069
Ecu Physicians
Charlotte, NC 28275-1069
Phone (252) 744-3258

Other practice location 1

1101 26th St S
Great Falls, MT 59405-5161
Phone (406) 731-8888

Other identifiers 2

IdentifierTypeStateIssuer
1235353954MedicaidNC
1791FOtherNCBCBS NC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA, MT, WV4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20130926000352 NC Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 5294979530 Reassigns benefits to 3 organizations
I20221031002665 GA Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 5294979530 Reassigns benefits to 1 organization
I20221119000337 MT Practitioner - Pediatric Medicine 5294979530 Reassigns benefits to 1 organization
I20230525003348 WV Practitioner - Pediatric Medicine 5294979530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2012-1731NCMDPediatrics Physician
116685MTMDPediatric Critical Care Medicine Physician
2012-01731NCMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland Memorial Hospital Inc CurrentSince Aug 1, 2019 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Aug 1, 2019 Accepting new patients
DLP Western Carolina Physician Practices LLC Pediatrics CurrentSince Nov 27, 2019 Accepting new patients
Cogent Healthcare of Georgia PC CurrentSince Sep 1, 2022 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Oct 30, 2023 Accepting new patients
Benefis Hospitals Inc CurrentSince Oct 25, 2022 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Nov 27, 2019 Accepting new patients
Bladen Healthcare LLC Past Accepting new patients
Beacon Kalamazoo Inc Past Accepting new patients
Benefis Hospitals, Inc. Past Accepting new patients
United Physicians Care Inc Past Accepting new patients

Locations

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

2720 10th Ave S
Fl 2
Great Falls, MT 59405
Phone (406) 731-8865

55 Holly Springs Park Dr
Franklin, NC 28734
Phone (828) 349-3550

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

1135 Carthage St
Sanford, NC 27330
Phone (910) 774-2100

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

98 Doctors Dr
Ste 300
Sylva, NC 28779
Phone (828) 586-9641

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Interoperability endpoints

  • Direct secure messaging: bzepeda21221@benefishs.direct-ci.com
  • Direct secure messaging: bzepeda373357@direct.wvuhsdirect.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1235353954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751069",
            "address_2": "ECU PHYSICIANS",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751069",
            "telephone_number": "252-744-3258",
            "fax_number": "252-744-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MOYE BLVD",
            "address_2": "ECU PHYSICIANS NEONATOLOGY",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344300",
            "telephone_number": "252-744-0766",
            "fax_number": "252-744-0392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 26th St S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055161",
            "country_code": "US",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEPEDA",
        "first_name": "BEATRICE",
        "middle_name": "GUADALUPE",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2012-1731",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "MT",
            "license": "116685",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NC",
            "license": "2012-01731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235353954",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "1791F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.