NPIMap

Organization Active NPI

Physicians East, PA

  • Internal Medicine Physician
  • Farmville, NC
National Provider Identifier
1477510113
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
AP 00000582 Issued in NC
Legal business name
PHYSICIANS EAST, PA
Practice address
3681 N Main St
Suite 114
Farmville, NC 27828-1464
Phone
(252) 753-7141
Fax
(252) 753-5834
NPI assigned
Apr 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cindy McGee
Title
Coo
Phone
(252) 752-6101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X AP 00000582 NC Primary

Addresses

Primary practice location

3681 N Main St
Suite 114
Farmville, NC 27828-1464

Mailing address

3681 N Main St
Suite 114
Farmville, NC 27828-1464
Phone (252) 753-7141

Other identifiers 1

IdentifierTypeStateIssuer
890290TMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Physicians East PA13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477510113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3681 N MAIN ST",
            "address_2": "SUITE 114",
            "city": "FARMVILLE",
            "state": "NC",
            "postal_code": "278281464",
            "telephone_number": "252-753-7141",
            "fax_number": "252-753-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3681 N MAIN ST",
            "address_2": "SUITE 114",
            "city": "FARMVILLE",
            "state": "NC",
            "postal_code": "278281464",
            "telephone_number": "252-753-7141",
            "fax_number": "252-753-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS EAST, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGEE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "252-752-6101"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "AP 00000582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890290T",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, NC

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.

Verify at the official NPI Registry.