Organization Active NPI

Atlantic Neurosurgical & Spine Specialist, P.a

  • Neurological Surgery Physician
  • Jacksonville, NC
National Provider Identifier
1346680139
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
ATLANTIC NEUROSURGICAL & SPINE SPECIALIST, P.A
Practice address
215 Station St
Suite a-2
Jacksonville, NC 28546-6304
Phone
(910) 763-3333
Fax
(910) 763-3336
NPI assigned
Jun 26, 2013
Last updated
Jun 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
Teresa Huffmon
Title
Practice Manager
Phone
(910) 763-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X NC Primary

Addresses

Primary practice location

215 Station St
Suite a-2
Jacksonville, NC 28546-6304

Mailing address

2208 S 17TH St
Suite 201
Wilmington, NC 28401-7593
Phone (910) 763-3333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051011000127 NC Part B Supplier - Clinic/Group Practice 0840215786 Receives reassigned benefits from 34 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wilmington, NC; Jacksonville, NC

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

215 Station St
#A
Jacksonville, NC 28546
Phone (910) 577-4300

215 Station St
#A2
Jacksonville, NC 28546
Phone (910) 763-3333

215 Station St
Ste A2
Jacksonville, NC 28546
Phone (910) 763-3333

2208 S 17th St
Wilmington, NC 28401
Phone (910) 763-3333

Practitioners & affiliated clinicians

Practitioners 38

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 38

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1346680139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 S 17TH ST",
            "address_2": "SUITE 201",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017593",
            "telephone_number": "910-763-3333",
            "fax_number": "910-763-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 STATION ST",
            "address_2": "SUITE A-2",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466304",
            "telephone_number": "910-763-3333",
            "fax_number": "910-763-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC NEUROSURGICAL & SPINE SPECIALIST, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "HUFFMON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "910-763-3333"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.