Active NPI
Rocky Mount Neurosurgical and Spine Consultants, PA
- Specialist
- Rocky Mount, NC
National Provider Identifier
1417910480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- ROCKY MOUNT NEUROSURGICAL AND SPINE CONSULTANTS, PA
- Practice address
- 2412 Professional Dr
Rocky Mount, NC 27804-2253 - Phone
- (252) 443-4563
- Fax
- (252) 443-6461
- NPI assigned
- Apr 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Deborah M Dew
- Title
- Administrator
- Phone
- (252) 443-4563
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NC | Primary |
Addresses
Primary practice location
2412 Professional Dr
Rocky Mount, NC 27804-2253
Mailing address
PO Box 7546
Rocky Mount, NC 27804-0546
Phone (252) 443-4563
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7928297 | Medicaid | NC | |
| 8954532 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- West Islip, NY
- NPI 1962619023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1417910480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7546",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278040546",
"telephone_number": "252-443-4563",
"fax_number": "252-443-6461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2412 PROFESSIONAL DR",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278042253",
"telephone_number": "252-443-4563",
"fax_number": "252-443-6461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKY MOUNT NEUROSURGICAL AND SPINE CONSULTANTS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DEW",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "252-443-4563",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7928297",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8954532",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
- Rocky Mount Health Care PLLC
- Rocky Mount Home Health Services LLC (Lovely Care Services, LLC)
- Rocky Mount Internal Medicine,PA
- Rocky Mount Medical Park Pharmacy Inc (Rocky Mount Medical Park Pharmacy)
- Rocky Mount Medical Park Pharmacy, Inc (Rocky Mount Medical Park Pharmacy)
- Rocky Mount Oic Family Medical Center
- Rocky Mount Opticians
- Rocky Mount Orthopedics & Sports Medicine Center PLLC
- Rocky Mount Preparatory School
- Rocky Mount Rehabilitation Associates, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.