Powells Medical Facility

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

License

223962 Issued in NC

Legal business name

POWELLS MEDICAL FACILITY

Practice address

201 W Clinton St
Roseboro, NC 28382

Phone

(910) 525-4062

NPI assigned

Aug 22, 2006

Last updated

Apr 29, 2008By 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

Teresa Powell

Title

Office Manager

Phone

(910) 525-4062

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Eddie Nelson Powell, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Raeford, NC
  • NPI 1659305928
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1285740142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 988",
            "city": "ROSEBORO",
            "state": "NC",
            "postal_code": "283820988",
            "telephone_number": "910-525-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W CLINTON ST",
            "city": "ROSEBORO",
            "state": "NC",
            "postal_code": "28382",
            "telephone_number": "910-525-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELLS MEDICAL FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-525-4062"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NC",
            "license": "223962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ph.D. Medical Genetics in Roseboro, NC
• Providers in Roseboro, NC by specialty
• Ph.D. Medical Genetics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.