Organization Active NPI

Town of Chocowinity

Doing business as Chocowinity EMS

  • Land Ambulance
  • Chocowinity, NC
National Provider Identifier
1285373787
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWN OF CHOCOWINITY
Doing business as
Chocowinity EMS
Practice address
512 NC Highway 33 E
Chocowinity, NC 27817-9004
Phone
(252) 948-2446
NPI assigned
Jun 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Derrick Myers
Title
EMS Captain
Phone
(252) 948-2446

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

512 NC Highway 33 E
Chocowinity, NC 27817-9004

Mailing address

PO Box 574
Chocowinity, NC 27817-0574
Phone (252) 948-2446

Other names 1

  • Chocowinity EMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220718000552 NC Part B Supplier - Ambulance Service Supplier 6204217623 Practice locations: Chocowinity, NC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1285373787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 574",
            "city": "CHOCOWINITY",
            "state": "NC",
            "postal_code": "278170574",
            "telephone_number": "252-948-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 NC HIGHWAY 33 E",
            "city": "CHOCOWINITY",
            "state": "NC",
            "postal_code": "278179004",
            "telephone_number": "252-948-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF CHOCOWINITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "EMS CAPTAIN",
        "authorized_official_telephone_number": "252-948-2446"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chocowinity EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chocowinity EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chocowinity, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.