St. Luke'S Physician Network Inc.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

ST. LUKE'S PHYSICIAN NETWORK INC.

Practice address

54 Hospital Dr
Ste 3B
Columbus, NC 28722-8516

Phone

(828) 894-3230

NPI assigned

Jun 16, 2020

Organization subpart

Yes

Parent organization

ST. LUKE'S PHYSICIAN NETWORK INC.As reported in NPPES

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

Authorized official

Name

Elizabeth Presnell

Title

Cfo

Phone

(828) 894-0954

Specialties & licenses 1

Addresses

Other names 1

• St. Luke's Urology Associates Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

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

• St Lukes Physician Network Inc

  • Surgery Physician
  • Columbus, NC
  • NPI 1205088796

  O20081229000465

  Same enrollment
• St Lukes Physician Network, Inc.

  • Family Medicine Physician
  • Columbus, NC
  • NPI 1437452513

  O20081229000465

  Same enrollment
• St. Luke'S Physician Network Inc.

  • Surgery Physician
  • Columbus, NC
  • NPI 1023250099

  O20081229000465

  Same enrollment
• St. Luke'S Physician Network Inc.

  • Orthopaedic Surgery Physician
  • Columbus, NC
  • NPI 1154563385

  O20081229000465

  Same enrollment
• St. Lukes Physician Network, Inc

  • Hospitalist Physician
  • Columbus, NC
  • NPI 1295132009

  O20081229000465

  Same enrollment

Part of

St Lukes Physician Network Inc

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Bradey, PA

  • Physician Assistant
  • Columbus, NC
  • NPI 1437100823
  NPD
• Janet Howell, PA

  • Physician Assistant
  • Columbus, NC
  • NPI 1578735502
  NPD
• Jeffrey Kip Viar, DO

  • Family Medicine Physician
  • Columbus, NC
  • NPI 1811998271
  NPD

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1366067233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305",
            "telephone_number": "704-631-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HOSPITAL DR",
            "address_2": "STE 3B",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287228516",
            "telephone_number": "828-894-3230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Daniel Rd",
            "address_purpose": "LOCATION",
            "city": "Forest City",
            "state": "NC",
            "postal_code": "280437151",
            "country_code": "US",
            "telephone_number": "828-286-9036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. LUKE'S PHYSICIAN NETWORK INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKE'S PHYSICIAN NETWORK INC.",
        "enumeration_date": "2020-06-16",
        "last_updated": "2023-03-09",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "PRESNELL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "828-894-0954"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ambulatory@direct.carolinashealthcare.org",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "54 Hospital Dr",
            "address_2": "Ste 3B",
            "city": "Columbus",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287228516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St. Luke's Urology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Luke's Urology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Luke'S Hospital Inc.
• St. Luke'S Hospital Inc.
• St. Luke'S Hospital Inc.
• St. Luke'S Physician Network Inc.
• St. Luke'S Physician Network Inc.
• St. Lukes Hospital Inc.
• St. Lukes Physician Network, Inc
• Erin Hunter Steed, MS, CGC
• James Madison Sullenberger, LPT
• Meagin Sumrall, DC

• All providers in Columbus, NC
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.