Active NPI
East Carolina Neurology, Inc.
- Neurology Physician
- Greenville, NC
National Provider Identifier
1497848048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- EAST CAROLINA NEUROLOGY, INC.
- Practice address
- 2280 Hemby LN
Greenville, NC 27834-3773 - Phone
- (252) 752-4848
- Fax
- (252) 752-9607
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph Thatcher Hodges, FACHE
- Title
- Administrator
- Phone
- (252) 752-4848
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 2646 | NC | |
| Clinical Psychologist | 103TC0700X | 1188 | NC | |
| Neuropathology Physician | 207ZN0500X | |||
| Neurology Physician | 2084N0400X | Primary | ||
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | |||
| Clinical Neurophysiology Physician | 2084N0600X | |||
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | |||
| Vascular Neurology Physician | 2084V0102X | |||
| Neuroradiology Physician | 2085N0700X |
Addresses
Primary practice location
2280 Hemby LN
Greenville, NC 27834-3773
Mailing address
2280 Hemby LN
Greenville, NC 27834-3773
Phone (252) 752-4848
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01478 | Other | NC | BLUE CROSS BLUE SHIELD |
| 6005989 | Other | NC | MEDICAID MENTAL HEALTH |
| 8901478 | Medicaid | NC |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
2280 Hemby Ln
Greenville, NC 27834
Phone (252) 744-9400
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Greenville, NC
- NPI 1558368936
-
- Neurology Physician
- Greenville, NC
- NPI 1508950114
-
- Neurology Physician
- Greenville, NC
- NPI 1033202551
-
- Neurology Physician
- Greenville, NC
- NPI 1669567095
-
- Neurology Physician
- Greenville, NC
- NPI 1346333853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251849600000",
"number": "1497848048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2280 HEMBY LN",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278343773",
"telephone_number": "252-752-4848",
"fax_number": "252-752-9607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2280 HEMBY LN",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278343773",
"telephone_number": "252-752-4848",
"fax_number": "252-752-9607"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST CAROLINA NEUROLOGY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2009-09-02",
"status": "A",
"authorized_official_last_name": "HODGES",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "THATCHER",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "252-752-4848",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "FACHE"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "NC",
"license": "2646",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "1188",
"primary": false
},
{
"code": "207ZN0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Neuropathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084N0402X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Neuroradiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "01478",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID MENTAL HEALTH",
"identifier": "6005989",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8901478",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.