Organization Active NPI

Nettoc Medical Group

  • Family Medicine Physician
  • Rocky Mount, NC
National Provider Identifier
1285018739
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NETTOC MEDICAL GROUP
Practice address
3661 Sunset Ave
Rocky Mount, NC 27804-3411
Phone
(888) 671-5273
Fax
(800) 604-5503
NPI assigned
Jul 15, 2015
Last updated
May 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Authorized official

Name
Aaron R Cotten, MD
Title
Ceo
Phone
(888) 671-5273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

3661 Sunset Ave
Rocky Mount, NC 27804-3411

Mailing address

3661 Sunset Ave
Suite 100
Rocky Mount, NC 27804-3411
Phone (888) 671-5273

Other identifiers 1

IdentifierTypeStateIssuer
34D2100159OtherNCCLIA

National Provider Directory

National Provider Directory

Locations

812 Candy Park Rd
#5101
Pembroke, NC 28372
Phone (910) 522-0408

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1285018739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 SUNSET AVE",
            "address_2": "SUITE 100",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043411",
            "telephone_number": "888-671-5273",
            "fax_number": "800-604-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 SUNSET AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043411",
            "telephone_number": "888-671-5273",
            "fax_number": "800-604-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NETTOC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "COTTEN",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-671-5273",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "34D2100159",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.