Active NPI
Veeresh Anand Medlery, MD
- Family Medicine Physician
- Goldsboro, NC
National Provider Identifier
1437356565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301083520
- Practice address
- 2609 Medical Office PL
Goldsboro, NC 27534-9428 - Phone
- (989) 681-3524
- NPI assigned
- Jul 2, 2007
- Last updated
- May 29, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301083520 | MI | Primary |
Addresses
Primary practice location
2609 Medical Office PL
Goldsboro, NC 27534-9428
Mailing address
2609 Medical Office PL
Goldsboro, NC 27534-9428
Phone (989) 681-3524
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01012411 | Other | MI | HEALTHPLUS COMMERCIAL |
| 0802911812 | Other | MI | BCBSM |
| 1032406 | Other | MI | MCLAREN |
| 200000017757 | Other | MI | PHP COMMERCIAL |
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
Interoperability endpoints
- vmedlery214775@direct.unc.nchie.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401321600000",
"number": "1437356565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2609 MEDICAL OFFICE PL",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349428",
"telephone_number": "989-681-3524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2609 MEDICAL OFFICE PL",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349428",
"telephone_number": "989-681-3524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDLERY",
"first_name": "VEERESH",
"middle_name": "ANAND",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-02",
"last_updated": "2014-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301083520",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS COMMERCIAL",
"identifier": "01012411",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "0802911812",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN",
"identifier": "1032406",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP COMMERCIAL",
"identifier": "200000017757",
"state": "MI"
}
],
"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 May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.