NPIMap

Organization Active NPI

Physicians East, PA

  • Internal Medicine Physician
  • Winterville, NC
National Provider Identifier
1386609980
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
AP 00000582 Issued in NC
Legal business name
PHYSICIANS EAST, PA
Practice address
4796 Old Tar Rd
Winterville, NC 28590-9752
Phone
(252) 353-4111
Fax
(252) 353-1727
NPI assigned
Apr 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cindy McGee
Title
Coo
Phone
(252) 752-6101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AP 00000582 NC Primary

Addresses

Primary practice location

4796 Old Tar Rd
Winterville, NC 28590-9752

Mailing address

4796 Old Tar Rd
Winterville, NC 28590-9752
Phone (252) 353-4111

Other identifiers 1

IdentifierTypeStateIssuer
890290MMedicaidNC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0919964Physicians East PA-Winterville4796 Old Tar Rd, Winterville, NC 28590AccreditationMar 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Physician's East13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

4796 Old Tar Rd
Winterville, NC 28590
Phone (252) 353-4111

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": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386609980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4796 OLD TAR RD",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909752",
            "telephone_number": "252-353-4111",
            "fax_number": "252-353-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4796 OLD TAR RD",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909752",
            "telephone_number": "252-353-4111",
            "fax_number": "252-353-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS EAST, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGEE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "252-752-6101"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "AP 00000582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890290M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.