Individual provider Active NPI

Felicia D Hussey, M.D., P.A.

  • Family Medicine Physician
  • Goldsboro, NC
National Provider Identifier
1407908148
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9701412 Issued in NC
Practice address
327 North Spence Avenue
Goldsboro, NC 27534-4347
Phone
(919) 778-7934
Fax
(919) 778-7683
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9701412 NC Primary

Addresses

Primary practice location

327 North Spence Avenue
Goldsboro, NC 27534-4347

Mailing address

327 North Spence Avenue
Goldsboro, NC 27534-4347
Phone (919) 778-7934

Other identifiers 2

IdentifierTypeStateIssuer
1228POtherNCBCBS
891228PMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
9701412NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Felicia D. Hussey, M.D., P.a. Family Medicine PastSince Feb 2, 2004 Accepting new patients
Physician'S Prime Care Centre Past Accepting new patients
Wellsprings Center of Goldsboro,P.a. Past Accepting new patients
Eastern Medical Associates, PA Family Medicine Past Accepting new patients
Eastern Medical Associates, PA PastSince Sep 1, 1998 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1407908148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 NORTH SPENCE AVENUE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344347",
            "telephone_number": "919-778-7934",
            "fax_number": "919-778-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 NORTH SPENCE AVENUE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344347",
            "telephone_number": "919-778-7934",
            "fax_number": "919-778-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEY",
        "first_name": "FELICIA",
        "middle_name": "D",
        "credential": "M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9701412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1228P",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891228P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.