Eastern Physical Medicine & Rehabilitation, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

EASTERN PHYSICAL MEDICINE & REHABILITATION, LLC

Practice address

2245 Stantonsburg Rd Ste a
Greenville, NC 27834-2868

Phone

(252) 215-9294

Fax

(252) 215-9279

NPI assigned

Mar 19, 2010

Last updated

Feb 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Billy Ray Smith, MDNPI 1346275260

Title

Owner

Phone

(252) 215-9294

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Billy Ray Smith, MD

  • Physical Medicine & Rehabilitation Physician
  • Greenville, NC
  • NPI 1346275260
  Medicare reassignment NPD Authorized official
• Lisa Moore, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, NC
  • NPI 1689068751
  Medicare reassignment NPD
• Harry Giles Cross, PA-C

  • Physician Assistant
  • Greenville, NC
  • NPI 1184690885
  Medicare reassignment

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1275857294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 STANTONSBURG RD STE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342868",
            "telephone_number": "252-215-9294",
            "fax_number": "252-215-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 STANTONSBURG RD STE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342868",
            "telephone_number": "252-215-9294",
            "fax_number": "252-215-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PHYSICAL MEDICINE & REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-215-9294",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "200200604",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89136YX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastern Nephrology Associates PLLC
• Eastern Neurosurgical and Spine Associates
• Eastern Neurosurgical and Spine Associates, Inc.
• Eastern Oncology & Hematology
• Eastern Pediatrics, P.a.
• Eastern Podiatry PA
• Eastern Psychiatric & Behavioral Specialists, PLLC
• Eastern Psychiatric & Behavioral Specialists, PLLC
• Eastern Radiologists Inc
• Eastern Radiologists, Inc

• Physical Medicine & Rehabilitation Physician in Greenville, NC
• Providers in Greenville, NC by specialty
• Physical Medicine & Rehabilitation Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.