NC Dept of Public Safety

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

0010-05558 Issued in NC

Legal business name

NC DEPT OF PUBLIC SAFETY

Practice address

2821 US 903 N
Maury, NC 28554

Phone

(252) 747-8101

NPI assigned

Feb 27, 2017

Last updated

Feb 27, 2017By 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

Abhay Agarwal, MD

Title

Deputy Medical Director

Phone

(984) 255-6061

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1295275170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "MAURY",
            "state": "NC",
            "postal_code": "285540215",
            "telephone_number": "252-747-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 US 903 N",
            "city": "MAURY",
            "state": "NC",
            "postal_code": "28554",
            "telephone_number": "252-747-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC DEPT OF PUBLIC SAFETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "ABHAY",
        "authorized_official_title_or_position": "DEPUTY MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "984-255-6061",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NC",
            "license": "0010-05558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Gerrell
• Leo Alva Johns, DDS

• Public Health or Welfare Agency in Maury, NC
• Providers in Maury, NC by specialty
• Public Health or Welfare Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.