NPIMap

Organization Active NPI

Metropolitan Community Health Services, Inc.

Doing business as Roanoke River Orthopedics

  • Orthopaedic Surgery Physician
  • Williamston, NC
National Provider Identifier
1295515260
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
METROPOLITAN COMMUNITY HEALTH SERVICES, INC.
Doing business as
Roanoke River Orthopedics
Practice address
220 Green St
Williamston, NC 27892-2000
Phone
(252) 792-0305
NPI assigned
Oct 5, 2023
Last updated
Oct 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Laurence J Doby
Title
Executive Director
Phone
(252) 644-7003

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X

Addresses

Primary practice location

220 Green St
Williamston, NC 27892-2000

Mailing address

120 W Martin Luther King Jr Dr
Washington, NC 27889-4906
Phone (252) 644-7003

Other names 1

  • Roanoke River Orthopedics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040630000822 NC Part B Supplier - Clinic/Group Practice 9931010881 Receives reassigned benefits from 46 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Williamston, NC; Washington, NC; Plymouth, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295515260. Details of each certification follow.

  • CCN B61061 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN B61061

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ROANOKE RIVER ORTHOPEDICS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 4, 2024
Last certification
Sep 4, 2024
Ownership / control type
For profit – corporation
Facility address
220 Green St
Williamston, NC 27892

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1295515260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W MARTIN LUTHER KING JR DR",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894906",
            "telephone_number": "252-644-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 GREEN ST",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922000",
            "telephone_number": "252-792-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN COMMUNITY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "DOBY",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-644-7003"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roanoke River Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamston, NC

Sources for this page

Verify at the official NPI Registry.