Organization Active NPI

Vann-Virginia Center for Orthopaedics PC

Doing business as Atlantic Orthopaedic Specialsits

  • Orthopaedic Surgery Physician
  • Nags Head, NC
National Provider Identifier
1386279602
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PC
Doing business as
Atlantic Orthopaedic Specialsits
Practice address
4800 S Croatan Hwy
Nags Head, NC 27959-9704
Phone
(757) 321-3300
Fax
(757) 321-3330
NPI assigned
Mar 6, 2020
Last updated
Mar 6, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Authorized official

Name
Cecil FM Morris, CFO
Title
Practice Adminstrator
Phone
(757) 321-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

4800 S Croatan Hwy
Nags Head, NC 27959-9704

Mailing address

230 Clearfield Ave Ste 124
Virginia Beach, VA 23462-1832
Phone (757) 321-3300

Other names 1

  • ATLANTIC ORTHOPAEDIC SPECIALSITS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200409001711 NC Part B Supplier - Clinic/Group Practice 9133115397 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Kill Devil Hills, NC; Nags Head, NC

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Tax ID family
Samuel C Kline MD12 organizations share this tax ID, including this one
Part of
Samuel C Kline MD

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1386279602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CLEARFIELD AVE STE 124",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621832",
            "telephone_number": "757-321-3300",
            "fax_number": "757-321-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S CROATAN HWY",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279599704",
            "telephone_number": "757-321-3300",
            "fax_number": "757-321-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PC",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "CECIL",
        "authorized_official_middle_name": "FM",
        "authorized_official_title_or_position": "PRACTICE ADMINSTRATOR",
        "authorized_official_telephone_number": "757-321-3300",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATLANTIC ORTHOPAEDIC SPECIALSITS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nags Head, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.