NPIMap

Organization Active NPI

Carteret Urgent Care Center

  • Family Medicine Physician
  • Morehead City, NC
National Provider Identifier
1376689927
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
NC28198 Issued in NC
Legal business name
CARTERET URGENT CARE CENTER
Practice address
3104 Arendell St
Morehead City, NC 28557-3202
Phone
(252) 247-0770
Fax
(252) 240-1384
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Mrs. Philicia Long Gray
Title
Office Manager
Phone
(252) 247-0770

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207P00000X NC28198 NC
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X NC28198 NC Primary

Addresses

Primary practice location

3104 Arendell St
Morehead City, NC 28557-3202

Mailing address

3104 Arendell St
Morehead City, NC 28557-3202
Phone (252) 247-0770

Other identifiers 3

IdentifierTypeStateIssuer
0140XOtherNCSNC
890140XMedicaidNC
0140XOtherNCBCBS

Other names 1

  • Carteret Urgent and Family Care Center Other name

National Provider Directory

National Provider Directory

Locations

3104 Arendell St
Morehead City, NC 28557
Phone (252) 247-0770

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1376689927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 ARENDELL ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573202",
            "telephone_number": "252-247-0770",
            "fax_number": "252-240-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 ARENDELL ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573202",
            "telephone_number": "252-247-0770",
            "fax_number": "252-240-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERET URGENT CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "PHILICIA",
        "authorized_official_middle_name": "LONG",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "252-247-0770",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "NC28198",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "NC28198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SNC",
            "identifier": "0140X",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890140X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0140X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carteret Urgent and Family Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.