NPIMap

Organization Active NPI

Albemarle Physician Services - Sentara, Inc

Doing business as Sentara Urgent Care

  • Urgent Care Clinic/Center
  • Kitty Hawk, NC
National Provider Identifier
1306202627
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ALBEMARLE PHYSICIAN SERVICES - SENTARA, INC
Doing business as
Sentara Urgent Care
Practice address
5200 N Croatan Hwy
Ste 12
Kitty Hawk, NC 27949-3990
Phone
(252) 715-5110
Fax
(844) 648-0728
NPI assigned
Jan 4, 2016
Last updated
May 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Authorized official

Name
Cindy A Taylor
Title
Manager
Phone
(757) 252-2765

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NC Primary
Durable Medical Equipment & Medical Supplies 332B00000X NC
Pharmacy 333600000X NC

Addresses

Primary practice location

5200 N Croatan Hwy
Ste 12
Kitty Hawk, NC 27949-3990

Mailing address

5200 N Croatan Hwy
Ste 12
Kitty Hawk, NC 27949-3990
Phone (252) 715-5110

Other identifiers 1

IdentifierTypeStateIssuer
2347339OtherNCMEDICARE GROUP NUMBER

Other names 1

  • Sentara Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090630000446 NC Part B Supplier - Clinic/Group Practice 8729139852 Receives reassigned benefits from 177 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Elizabeth City, NC; Moyock, NC; Edenton, NC

Other NPIs on the same Medicare enrollment 11

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

National Provider Directory

National Provider Directory

Locations

1134 N Road St
Bldg 9A
Elizabeth City, NC 27909
Phone (252) 331-1100

905 Thunder Rd
Ste 150B
Elizabeth City, NC 27909
Phone (252) 334-0418

905 Thunder Rd
Ste 160
Elizabeth City, NC 27909
Phone (252) 334-0320

905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460

905 Thunder Rd
Ste 240
Elizabeth City, NC 27909
Phone (252) 334-0555

1121 N Road St
Elizabeth Cty, NC 27909
Phone (252) 338-5183

1141 N Road St
Ste M
Elizabeth Cty, NC 27909
Phone (252) 338-2155

902B Roanoke Ave
Elizabeth Cty, NC 27909
Phone (252) 368-8575

5200 N Croatan Hwy
#1
Kitty Hawk, NC 27949
Phone (252) 255-6110

5200 N Croatan Hwy
#3
Kitty Hawk, NC 27949
Phone (252) 255-6110

5200 N Croatan Hwy
#6
Kitty Hawk, NC 27949
Phone (252) 255-6113

5200 N Croatan Hwy
Ste 1
Kitty Hawk, NC 27949
Phone (252) 338-3993

5200 N Croatan Hwy
Ste 8
Kitty Hawk, NC 27949
Phone (252) 255-6119

446 Caratoke Hwy
Moyock, NC 27958
Phone (252) 435-1275

835 Glenrock Rd
Norfolk, VA 23502
Phone (757) 252-3000

Practitioners & affiliated clinicians

Practitioners 163

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 163

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1306202627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 N CROATAN HWY",
            "address_2": "STE 12",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493990",
            "telephone_number": "252-715-5110",
            "fax_number": "844-648-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 N CROATAN HWY",
            "address_2": "STE 12",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493990",
            "telephone_number": "252-715-5110",
            "fax_number": "844-648-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBEMARLE PHYSICIAN SERVICES - SENTARA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "757-252-2765"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "2347339",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kitty Hawk, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.