NPIMap

Organization Active NPI

Carolinaeast Physicians

  • Ambulatory Surgical Clinic/Center
  • New Bern, NC
National Provider Identifier
1407157142
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CAROLINAEAST PHYSICIANS
Practice address
640 McCarthy Blvd
New Bern, NC 28562-5231
Phone
(252) 276-7100
Fax
(252) 633-8396
NPI assigned
Nov 11, 2010
Last updated
Jul 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Tammy M Sherron
Title
VP Finance/Cfo
Phone
(252) 633-8880

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

640 McCarthy Blvd
New Bern, NC 28562-5231

Mailing address

PO Box 896206
Charlotte, NC 28289-6206
Phone (252) 276-7100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407157142. Details of each certification follow.

Ambulatory surgical center certification: CCN 34C0001131

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CarolinaEast Internal Medicine
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jul 12, 2007
Last certification
May 24, 2018
Ownership / control type
Non-Profit
Facility address
640 McCarthy Blvd.
New Bern, NC 28562

Other NPIs on the same Medicare enrollment 30

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 30

National Provider Directory

National Provider Directory
Tax ID family
Carolinaeast Physicians18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

2604 Dr Martin Luther King Jr Blvd
Ste C
New Bern, NC 28562

2604 Martin Luther King Jr Blvd
New Bern, NC 28562
Phone (252) 636-4502

640 McCarthy Blvd
Ste C
New Bern, NC 28562

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1407157142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896206",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896206",
            "telephone_number": "252-276-7100",
            "fax_number": "252-633-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 MCCARTHY BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625231",
            "telephone_number": "252-276-7100",
            "fax_number": "252-633-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAEAST PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "SHERRON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP FINANCE/CFO",
        "authorized_official_telephone_number": "252-633-8880"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.