Paulette Keith Ingram, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

28419 Issued in NC

Practice address

529 Becker Dr
Roanoke Rapids, NC 27870-3303

Phone

(252) 537-1400

Fax

(252) 537-4936

NPI assigned

Mar 25, 2006

Last updated

Sep 21, 2012By the provider in NPPES

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Halifax Pediatrics, P.a.

  • Primary Care Clinic/Center
  • Roanoke Rapids, NC
  • NPI 1821214552
  Authorized official Same address or phone

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1437119112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 BECKER DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278703303",
            "telephone_number": "252-537-1400",
            "fax_number": "252-537-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 BECKER DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278703303",
            "telephone_number": "252-537-1400",
            "fax_number": "252-537-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "PAULETTE",
        "middle_name": "KEITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-25",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "28419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8945264",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Chandler Huggins, PHARMD
• James Henry Hunter Jr., M.ED.
• Kaitlyn Smith Hurdle
• Keith Leon Hutchins Jr., PA-C, DHSC
• Igr Collaborations
• Elizabeth Little Inscoe, NP
• Integrated Family Services, PLLC
• Interim Healthcare - Morris Group Inc
• Interim Healthcare - Morris Group Inc
• Invincible Community Based Services LLC

• Pediatrics Physician in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.