Individual provider Active NPI

Emily Grace Polhamus, APRN

  • Family Nurse Practitioner
  • Scotland Neck, NC
National Provider Identifier
1265184642
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5021138 Issued in NC
Practice address
919 Jr High School Rd
Scotland Neck, NC 27874-1219
Phone
(252) 826-3143
Fax
(252) 826-3110
NPI assigned
Jan 26, 2022
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5021138 NC Primary
Family Nurse Practitioner 363LF0000X APRN11016854 FL

Addresses

Primary practice location

919 Jr High School Rd
Scotland Neck, NC 27874-1219

Mailing address

PO Box 640
Roanoke Rapids, NC 27870-0640
Phone (252) 536-5844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220427000715 FL Practitioner - Nurse Practitioner 5991192643 Reassigns benefits to 1 organization
I20250128003367 NC Practitioner - Nurse Practitioner 5991192643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio State University College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Group IncGroup PAC ID 9739090226, 65 clinicians

Practice addresses (Care Compare)

919 Jr High School Rd
Scotland Neck, NC 27874-1219
Phone (252) 826-3143

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5021138NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Group, Inc. Current Accepting new patients
Central Florida Health Care, Inc. Current Accepting new patients
Rural Health Group, Inc. CurrentSince Jan 13, 2025 Accepting new patients
Rural Health Group, Inc. CurrentSince Jan 13, 2025 Accepting new patients
Central Florida Health Care, Inc CurrentSince Feb 13, 2023 Accepting new patients
Central Florida Health Care, Inc CurrentSince Feb 13, 2023 Accepting new patients
Rural Health Group, Inc. Current Accepting new patients
Rural Health Group, Inc. Current Accepting new patients
Rural Health Group, Inc. Past Accepting new patients

Locations

950 County Road 17A W
Avon Park, FL 33825
Phone (863) 452-3000

109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891

305 W Central Ave
Fl Heal
Lake Wales, FL 33853

1129 N Missouri Ave
Lakeland, FL 33805
Phone (863) 413-8600

903 Lowry Ave
Lakeland, FL 33801

1514 1st St N
Winter Haven, FL 33881
Phone (863) 291-5110

47 5th St NW
Winter Haven, FL 33881

114 Market St
Enfield, NC 27823
Phone (252) 445-2332

9425 NC Highway 305
Jackson, NC 27845
Phone (252) 534-1661

919 Jr High School Rd
Scotland Neck, NC 27874
Phone (252) 826-3143

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1265184642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278700640",
            "telephone_number": "252-536-5844",
            "fax_number": "252-519-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 JR HIGH SCHOOL RD",
            "city": "SCOTLAND NECK",
            "state": "NC",
            "postal_code": "278741219",
            "telephone_number": "252-826-3143",
            "fax_number": "252-826-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLHAMUS",
        "first_name": "EMILY",
        "middle_name": "GRACE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021138",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11016854",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotland Neck, NC

Sources for this page

Verify at the official NPI Registry.