Organization Active NPI

Deanna Jo Williamson

  • Sleep Disorder Diagnostic Clinic/Center
  • New Bern, NC
National Provider Identifier
1396717856
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
DEANNA JO WILLIAMSON
Practice address
727 Professional Dr
New Bern, NC 28560-4547
Phone
(252) 635-9822
Fax
(252) 635-1822
NPI assigned
Feb 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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

Authorized official

Name
Jeff Ragan
Title
Vice President
Phone
(336) 345-0678

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary
Durable Medical Equipment & Medical Supplies 332B00000X 001136776 NC

Addresses

Primary practice location

727 Professional Dr
New Bern, NC 28560-4547

Mailing address

PO Box 1712
Kernersville, NC 27285-1712

Other identifiers 4

IdentifierTypeStateIssuer
5900986MedicaidNC
7704202MedicaidNC
016XVOtherNCBCBS GROUP PROVIDER #
010269059MedicaidVA

Other names 1

  • Regional Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Deanna Jo Williamson4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

4315 Ludgate St
Lumberton, NC 28358
Phone (910) 258-8222

727 Professional Dr
New Bern, NC 28560
Phone (252) 635-9822

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1396717856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1712",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272851712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 PROFESSIONAL DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604547",
            "telephone_number": "252-635-9822",
            "fax_number": "252-635-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEANNA JO WILLIAMSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "RAGAN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "336-345-0678"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "001136776",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900986",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704202",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROVIDER #",
            "identifier": "016XV",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010269059",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.