Nash Internal Medicine PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

15996 Issued in NC

Legal business name

NASH INTERNAL MEDICINE PA

Practice address

3009 Zebulon Rd
Rocky Mount, NC 27804-2422

Phone

(252) 443-2552

Fax

(252) 443-0936

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Camilla Allyn Proctor, MD

Title

President

Phone

(252) 443-2552

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1356398994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 ZEBULON RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042422",
            "telephone_number": "252-443-2552",
            "fax_number": "252-443-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 ZEBULON RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042422",
            "telephone_number": "252-443-2552",
            "fax_number": "252-443-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASH INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "CAMILLA",
        "authorized_official_middle_name": "ALLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-443-2552",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "15996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890175 A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0175A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nash Hospitals Inc
• Nash Hospitals Inc
• Nash Hospitals Inc
• Nash Hospitals, Inc.
• Nash Imaging LLC
• Nash Mso
• Nash Mso, Inc.
• Nash Mso, Inc.
• Nash Mso, Inc.
• Nash Mso, Inc.

• Internal Medicine Physician in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.