Active NPI
Emily Grace Polhamus, APRN
- Family Nurse Practitioner
- Scotland Neck, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5021138
- 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, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5021138 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Health Group, Inc. | Current | Accepting new patients | |
| Central Florida Health Care, Inc. | Current | Accepting new patients | |
| Rural Health Group, Inc. | Current | Accepting new patients | |
| Rural Health Group, Inc. | Current | Accepting new patients | |
| Central Florida Health Care, Inc | Current | Accepting new patients | |
| Central Florida Health Care, Inc | Current | 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.
-
dba Rural Health Group at Jackson
- Federally Qualified Health Center (FQHC)
- Jackson, NC
- NPI 1689626178
-
dba Central Florida Health Care Frostproof
- Federally Qualified Health Center (FQHC)
- Frostproof, FL
- NPI 1467449660
-
dba Rural Health Group at Whitakers
- Federally Qualified Health Center (FQHC)
- Whitakers, NC
- NPI 1013157171
-
dba Rural Health Group at Roanoke Rapids/Dental
- Federally Qualified Health Center (FQHC)
- Roanoke Rapids, NC
- NPI 1669500997
-
dba Rural Health Group at Enfield
- Federally Qualified Health Center (FQHC)
- Enfield, NC
- NPI 1952665929
-
dba Rural Health Group at Rich Square
- Federally Qualified Health Center (FQHC)
- Rich Square, NC
- NPI 1962454447
-
- Federally Qualified Health Center (FQHC)
- Bartow, FL
- NPI 1811796469
-
- Federally Qualified Health Center (FQHC)
- Avon Park, FL
- NPI 1831232669
-
dba Rural Health Group at Lake Gaston
- Federally Qualified Health Center (FQHC)
- Littleton, NC
- NPI 1093767535
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Rocky Mount, NC
- NPI 1811470289
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
- Sheshana Nicholson
- Northeastern Clinical Network Services, Inc
- Our Community Hospital, Inc
- Our Community Hospital, Inc
- Our Community Hospital, Inc
- Kimberlyn C Richardson
- Rural Carolina Ambulance Service, LLC
- Rural Health Group, Inc. (Rural Health Group at Scotland Neck)
- Scotland Neck Family Medical Center, Inc.
- Scotland Neck NC Opco LLC (Scotland Manor Health and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.
- 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.