NPIMap

Individual provider Active NPI

Raymond Edward Schmoke, M.D.

  • Internal Medicine Physician
  • Southport, NC
National Provider Identifier
1427160068
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301047408 Issued in MI
Practice address
924 N.Howe St.
Southport, NC 28461
Phone
(910) 457-3838
NPI assigned
Aug 31, 2006
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2012-00987 NC
Internal Medicine Physician 207R00000X 4301047408 MI Primary

Addresses

Primary practice location

924 N.Howe St.
Southport, NC 28461

Mailing address

1806 East Parkdale Avenue
Manistee, MI 49660
Phone (231) 723-3567

Other practice location 1

1806 East Parkdale Avenue
Manistee, MI 49660
Phone (231) 723-3567

Other identifiers 1

IdentifierTypeStateIssuer
1748544MedicaidMI

Other names 1

  • Dr. Raymond E.F. Schmoke Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040630000368 MI Practitioner - Internal Medicine 2668459454 Reassigns benefits to 1 organization
I20130228000370 NC Practitioner - Internal Medicine 2668459454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

1839 Onslow Dr
Jacksonville, NC 28540-5906
Phone (248) 660-1220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012-00987NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Mid-Atlantic H PLLC Internal Medicine CurrentSince Dec 27, 2025 Accepting new patients
Theoria Medical Internal Medicine CurrentSince Nov 18, 2024 Accepting new patients
Theoria Medical Internal Medicine Past Accepting new patients
Arthur R Jeynes DPM PC PastSince Jul 23, 2007 Accepting new patients
Maple LTC Group, LLC Past Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients
Redwood LTC Group, LLC Past Accepting new patients

Locations

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

124 W Fourth St
Suttons Bay, MI 49682
Phone (231) 271-1200

2950 Lafranier Rd
Traverse City, MI 49686
Phone (231) 947-0506

411 S Lasalle St
Durham, NC 27705
Phone (919) 383-5521

1839 Onslow Dr
Jacksonville, NC 28540
Phone (910) 455-3610

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Premier Nursing and Rehabilitation CenterJacksonville, NC, CCN 345217 Skilled nursing facility Managing Control - Governing Body
Adp of the SNF		 Nov 1, 2024
Nov 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Redwood LTC Group, LLC

    dba Premier Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Jacksonville, NC
    • NPI 1962447565

    Adp of the SNF, Managing Control - Governing Body

    CMS ownership

Organizations & group practices 8

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1427160068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 EAST PARKDALE AVENUE",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "49660",
            "telephone_number": "231-723-3567",
            "fax_number": "231-723-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N.HOWE ST.",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "28461",
            "telephone_number": "910-457-3838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1806 East Parkdale Avenue",
            "address_purpose": "LOCATION",
            "city": "Manistee",
            "state": "MI",
            "postal_code": "49660",
            "country_code": "US",
            "telephone_number": "231-723-3567",
            "fax_number": "231-723-1767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMOKE",
        "first_name": "RAYMOND",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2012-00987",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301047408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1748544",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAYMOND",
            "last_name": "SCHMOKE",
            "middle_name": "E.F.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Southport, NC

Sources for this page

Verify at the official NPI Registry.