NPIMap

Organization Active NPI

University of North Carolina at Chapel Hill

Doing business as UNC Neurosurgery at South Boston

  • Neurological Surgery Physician
  • South Boston, VA
National Provider Identifier
1407308703
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
Doing business as
UNC Neurosurgery at South Boston
Practice address
2206 Wilborn Ave
Suite One
South Boston, VA 24592-1630
Phone
(984) 974-1273
NPI assigned
Nov 3, 2016
Last updated
Jan 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Latonya Brown
Title
Cfo
Phone
(984) 974-1145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

2206 Wilborn Ave
Suite One
South Boston, VA 24592-1630

Mailing address

5221 Paramount Pkwy Ste 420
Morrisville, NC 27560-5491

Other names 1

  • UNC Neurosurgery at South Boston Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000359 NC Part B Supplier - Clinic/Group Practice 0648181156 Receives reassigned benefits from 2,997 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Locations

101 Manning Dr
Ste 202
Chapel Hill, NC 27514
Phone (919) 484-1015

101 Manning Dr
Ste 207
Chapel Hill, NC 27514
Phone (984) 974-7198

102 Mason Farm Rd
Chapel Hill, NC 27514
Phone (919) 966-1459

6015 Farrington Rd
Ste 103
Chapel Hill, NC 27517
Phone (919) 493-7980

3708 Mayfair St
Ste 110
Durham, NC 27707
Phone (984) 215-5090

2206 Wilborn Ave
Ste 1
South Boston, VA 24592
Phone (919) 843-4609

2206 Wilborn Ave
Ste One
South Boston, VA 24592
Phone (984) 974-1273

Practitioners & affiliated clinicians

Practitioners 380

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 380

NPI Registry JSON

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1407308703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 420",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 WILBORN AVE",
            "address_2": "SUITE ONE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921630",
            "telephone_number": "984-974-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "984-974-1145"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNC Neurosurgery at South Boston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Boston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.