Active NPI
Katherine McNeese, M.D.
- Internal Medicine Physician
- Williamston, NC
National Provider Identifier
1346353596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 33869
- Practice address
- 108 Trade St
Williamston, NC 27892-7008 - Phone
- (252) 789-4001
- Fax
- (252) 799-0204
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 33869 | NC | Primary |
Addresses
Primary practice location
108 Trade St
Williamston, NC 27892-7008
Mailing address
108 Trade St
P.O.Box 1659
Williamston, NC 27892-7008
Phone (252) 789-4001
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8958033 | Medicaid | NC | |
| 110225016 | Other | NC | RAILROAD MEDICARE |
| 58033 | Other | NC | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210120000097 | NC | Order and Referring Only - Internal Medicine | 1759472301 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williamston Clinic Corp | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258675200000",
"number": "1346353596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 TRADE ST",
"address_2": "P.O.BOX 1659",
"city": "WILLIAMSTON",
"state": "NC",
"postal_code": "278927008",
"telephone_number": "252-789-4001",
"fax_number": "252-799-0204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 TRADE ST",
"city": "WILLIAMSTON",
"state": "NC",
"postal_code": "278927008",
"telephone_number": "252-789-4001",
"fax_number": "252-799-0204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEESE",
"first_name": "KATHERINE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2009-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "33869",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8958033",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110225016",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "58033",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Williamston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.