NPIMap

Organization Active NPI

East Carolina Medical Associates P.C

  • Geriatric Medicine (Internal Medicine) Physician
  • Jacksonville, NC
National Provider Identifier
1245255488
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
200101258 Issued in NC
Legal business name
EAST CAROLINA MEDICAL ASSOCIATES P.C
Practice address
25 Office Park Dr
Jacksonville, NC 28546-3219
Phone
(910) 353-4878
Fax
(910) 353-2258
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Dr. Abayomi Wilkins Osunkoya, M.D.
Title
Ceo
Phone
(910) 353-4878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X 200101258 NC Primary

Addresses

Primary practice location

25 Office Park Dr
Jacksonville, NC 28546-3219

Mailing address

PO Box 12549
Jacksonville, NC 28546-2549
Phone (910) 353-4878

National Provider Directory

National Provider Directory

Locations

182 Village Dr
Jacksonville, NC 28546
Phone (910) 353-4878

25 Office Park Dr
Jacksonville, NC 28546
Phone (910) 353-4878

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10459/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1245255488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12549",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285462549",
            "telephone_number": "910-353-4878",
            "fax_number": "910-353-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 OFFICE PARK DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285463219",
            "telephone_number": "910-353-4878",
            "fax_number": "910-353-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CAROLINA MEDICAL ASSOCIATES P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "OSUNKOYA",
        "authorized_official_first_name": "ABAYOMI",
        "authorized_official_middle_name": "WILKINS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-353-4878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "200101258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.