Carolina East Physicians
Organization Active NPI Family Medicine Physician · Vanceboro, NC
NPI 1386934545 · NPPES record last updated Mar 17, 2017
Key facts
- NPI
- 1386934545
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CAROLINA EAST PHYSICIANS
- Practice address
- 620 Farmlife Avenue
Vanceboro, NC 28586-7673 - Phone
- (252) 244-1785
- Fax
- (252) 244-2876
- NPI assigned
- Apr 8, 2011
- Organization subpart
- No
Authorized official
- Name
- Tammy M Sherron
- Title
- VP Finance/Cfo
- Phone
- (252) 633-8880
Other NPIs on the same Medicare enrollment 30
Corporate family (same tax ID) 17
Practitioners 7
-
Desiree Townsend Davis, AGPCNP
-
Marsha Ann Laird, NP
-
Suman Lamsal, MD
-
Megan Trask, FNP, AGACNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090430000303 | NC | Part B Supplier - Clinic/Group Practice | 0143378117 |
Receives reassigned benefits from 335 practitioners 30 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New Bern, NC; Morehead City, NC; Pollocksville, NC; Vanceboro, NC; Cape Carteret, NC; Chapel Hill, NC; Havelock, NC; Jacksonville, NC |
National Provider Directory
- Tax ID family
- Carolinaeast Urology
Locations
620 Farm Life Ave
Vanceboro, NC 28586
Phone (252) 244-1785
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | |||
| Cardiovascular Disease Physician |
207RC0000X | |||
| Otolaryngology Physician |
207Y00000X | |||
| Pediatrics Physician |
208000000X | |||
| Physical Medicine & Rehabilitation Physician |
208100000X | |||
| Neurology Physician |
2084N0400X | |||
| Urology Physician |
208800000X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
208G00000X | |||
| Hospitalist Physician |
208M00000X |
Addresses
Primary practice location
620 Farmlife Avenue
Vanceboro, NC 28586-7673
Mailing address
PO Box 896206
Charlotte, NC 28289-6206
Phone (252) 244-1785
Other providers in Vanceboro, NC
- Alix Ackerman
- Joann Marie Anderson
- Tamara C Babb
- Peggy Lynette Bennett
- Sara Brame
- Carolinaeast Medical Center
- Choices Group Home, Inc.
- Desiree Townsend Davis
- Elissa Ermmarino
- Victoria Ashley Gent
All providers in Vanceboro, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.