Active NPI
Sidney B McCall, PARAMEDIC
- Emergency Medical Services (Emergency Medicine) Physician
- Goldsboro, NC
National Provider Identifier
1487142105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- M5037324
- Practice address
- 817 N Spence Ave
Goldsboro, NC 27534-4267 - Phone
- (919) 687-6004
- NPI assigned
- Apr 27, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | M5037324 | NC | Primary |
Addresses
Primary practice location
817 N Spence Ave
Goldsboro, NC 27534-4267
Mailing address
817 N Spence Ave
Goldsboro, NC 27534-4267
Phone (919) 687-6004
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M5037324 | NC | MD | Emergency Medical Services (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1487142105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 N SPENCE AVE",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275344267",
"telephone_number": "919-687-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 N SPENCE AVE",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275344267",
"telephone_number": "919-687-6004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCALL",
"first_name": "SIDNEY",
"middle_name": "B",
"credential": "PARAMEDIC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-27",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "NC",
"license": "M5037324",
"primary": true
}
],
"identifiers": [],
"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 Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.