Organization Active NPI

Signet Healthcare, PC

  • Internal Medicine Physician
  • Whiteville, NC
National Provider Identifier
1346327707
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SIGNET HEALTHCARE, PC
Practice address
15 Hill PLZ Ste a
Whiteville, NC 28472-4950
Phone
(910) 642-0300
Fax
(910) 640-3327
NPI assigned
Nov 1, 2006
Last updated
Feb 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Charlene Berry
Title
Ceo
Phone
(910) 640-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

15 Hill PLZ Ste a
Whiteville, NC 28472-4950

Mailing address

PO Box 1527
Whiteville, NC 28472-1527
Phone (910) 642-0300

Other practice location 1

109 N Jk Powell Blvd
Whiteville, NC 28472-3123
Phone (910) 642-0300

Other identifiers 13

IdentifierTypeStateIssuer
0245HOtherNCOPTION BLUECROSS BLUESHIELD
89013UYMedicaidNC
216449OtherNCCOVENTRY HEALTHCARE PLAN
0245HOtherNCBLUECROSS BLUESHIELD STATE
CK5068OtherNCRAILROAD MEDICARE
0245HOtherNCFEDERAL BLUECROSS BLUESHIELD
7067596009OtherNCCIGNA
NPB005OtherSCSOUTH CAROLINA MEDICAID
0245HOtherNCBLUECROSS BLUESHIELD
0245HOtherNCEMPIRE BCBS
44960OtherNCMEDCOST
110069099OtherNCPALMETTA GBA
4140662NCOtherAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081014000053 NC Part B Supplier - Clinic/Group Practice 4284604851 Receives reassigned benefits from 1 practitioner
Practice locations: Whiteville, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0874266Signet Healthcare PC15 Hill Plaza, Suite a, Whiteville, NC 28472Certificate of waiverFeb 3, 2028

National Provider Directory

National Provider Directory

Locations

15 Hill Plz
#A
Whiteville, NC 28472
Phone (910) 207-6440

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19603/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1346327707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1527",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284721527",
            "telephone_number": "910-642-0300",
            "fax_number": "910-640-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HILL PLZ STE A",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284724950",
            "telephone_number": "910-642-0300",
            "fax_number": "910-640-3327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 N Jk Powell Blvd",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284723123",
            "country_code": "US",
            "telephone_number": "910-642-0300",
            "fax_number": "910-640-3327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIGNET HEALTHCARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-640-7070"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTION BLUECROSS BLUESHIELD",
            "identifier": "0245H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89013UY",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTHCARE PLAN",
            "identifier": "216449",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD STATE",
            "identifier": "0245H",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK5068",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUECROSS BLUESHIELD",
            "identifier": "0245H",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7067596009",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA MEDICAID",
            "identifier": "NPB005",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0245H",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "0245H",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "44960",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTA GBA",
            "identifier": "110069099",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4140662NC",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.