Dolphin H Overton III III, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

39313 Issued in NC

Practice address

2806B Wooten Blvd SW
Wilson, NC 27893-8624

Phone

(252) 360-4374

Fax

(252) 360-4391

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Wilson Cardiology Associates, PA

  • Specialist
  • Wilson, NC
  • NPI 1922062777

  Cardiovascular Disease

  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1417907619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 VENTURE DR",
            "address_2": "STE I",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774775",
            "telephone_number": "919-938-0811",
            "fax_number": "919-938-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806B WOOTEN BLVD SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278938624",
            "telephone_number": "252-360-4374",
            "fax_number": "252-360-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERTON III",
        "first_name": "DOLPHIN",
        "middle_name": "H",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "39313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "47292",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8964393",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7177348",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ORGANIZATION PTAN",
            "identifier": "2331698",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "64393",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1521310",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Onestop Therapeutics and Support Services, PLLC
• Opportunities Industrialization of Wilson, Incorporated
• Gabriela Isabel Oquendo-Claudio, MD
• Cara Orduno, MSW, QP, LCSWA
• Our Legacy of Love LLC
• Claire Renee Owens, P.A.
• Laura Williford Owens, PHARMD
• Ericka Deanna Packer, PTA
• Lindsay McCray Page, PHARMD
• Pain MD LLC

• Cardiovascular Disease Physician in Wilson, NC
• Providers in Wilson, NC by specialty
• Cardiovascular Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.