Active NPI
Richard Garth Berry, MD, FACP, FACGS
- Internal Medicine Physician
- Whiteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 36494
- Practice address
- 15 Hill PLZ Ste a
Whiteville, NC 28472-4950 - Phone
- (910) 642-0300
- Fax
- (910) 640-3327
- NPI assigned
- Apr 19, 2006
- Last updated
- Aug 13, 2024
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 36494 | NC | Primary |
Addresses
Primary practice location
15 Hill PLZ Ste a
Whiteville, NC 28472-4950
Mailing address
PO Box 1527
Whiteville, NC 28472-1527
Phone (910) 642-0300
Other practice location 1
109 N Jk Powell Blvd
Whiteville, NC 28472-3123
Phone (910) 642-0300
Other identifiers 22
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080190419 | Other | NC | RAILROAD MEDICARE - INDIVIDUAL |
| 0245H | Other | NC | BLUECROSS BLUESHIELD STATE |
| 110069099 | Other | NC | PALMETTA GBA |
| 216449 | Other | NC | COVENTRY HEALTH CARE PLAN |
| NPB005 | Other | SC | SOUTH CAROLINA MEDICAID |
| 0245H | Other | NC | FEDERAL BLUECROSS BLUESHIELD |
| 4140662 | Other | NC | AETNA |
| 89013UY | Medicaid | NC | |
| CK5068 | Other | NC | RAILROAD MEDICARE |
| 141838016 | Other | NC | UNITED HEALTHCARE |
| 15212 | Other | NC | BCBS - INDIVIDUAL |
| N36494 | Medicaid | SC | |
| 0245H | Other | NC | OPTION BLUECROSS BLUESHIELD |
| 15212 | Other | NC | OPTION BCBS- INDIVIDUAL |
| N36494 | Other | NC | SOUTH CAROLINA MEDICAID- INDIVIDUAL |
| 15212 | Other | NC | BCBS STATE - INDIVIDUAL |
| 0245H | Other | NC | BLUECROSS BLUESHIELD |
| 141838016 | Other | NC | TRICARE |
| 15212 | Other | NC | FEDERAL BCBS- INDIVIDUAL |
| 2183703F | Other | NC | MEDICARE - INDIVIDUAL |
| 7067596009 | Other | NC | CIGNA |
| 8915212 | Other | NC | NC MEDICAID - INDIVIDUAL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | richard.berry.1@19603.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Un of California, Irvine, College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
15 Hill PLZ
Suite a
Whiteville, NC 28472-4950
Phone (910) 642-0300
304 Jefferson St
Whiteville, NC 28472-3602
Phone (910) 640-6615
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Regional Health Network | Internal Medicine | Current | Accepting new patients |
| Signet Healthcare, PC | Internal Medicine | Current | Accepting new patients |
| Columbus Regional Health Network | Internal Medicine | Current | Accepting new patients |
| County of Columbus Office of Accountant | Current | Accepting new patients | |
| Columbus Regional Health Network | Current | Accepting new patients | |
| Eastern Carolinas Imaging | Past | Accepting new patients | |
| Columbus Regional Health Network | Internal Medicine | Past | Accepting new patients |
Locations
109 N Jk Powell Blvd
Whiteville, NC 28472
Phone (910) 640-2823
15 Hill Plz
#A
Whiteville, NC 28472
Phone (910) 207-6440
304 Jefferson St
Whiteville, NC 28472
Phone (910) 640-6615
500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776
612 Jefferson St
#28
Whiteville, NC 28472
Phone (910) 640-4064
Interoperability endpoints
- https://api.platform.athenahealth.com/19603/brand/1/csg/1/fhir/r4
- rberry@crhn.cernerdirect.com
- richard.berry.1@19603.direct.athenahealth.com
Organizations & group practices 7
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.
-
dba Advanced Family Care
- Hospitalist Physician
- Whiteville, NC
- NPI 1508001009
Internal Medicine
-
dba Columbus County Health Department
- State or Local Public Health Clinic/Center
- Whiteville, NC
- NPI 1699950865
-
- Internal Medicine Physician
- Whiteville, NC
- NPI 1346327707
-
dba Columbus Regional Urgent Care
- Family Medicine Physician
- Whiteville, NC
- NPI 1134509912
Internal Medicine
-
dba Advanced Orthopedics
- Orthopaedic Surgery Physician
- Whiteville, NC
- NPI 1790224962
-
dba Advanced Primary Care
- Family Medicine Physician
- Whiteville, NC
- NPI 1518263268
Internal Medicine
-
- Radiology Clinic/Center
- Whiteville, NC
- NPI 1306883889
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba South Columbus Medical Clinic
- General Acute Care Hospital
- Whiteville, NC
- NPI 1376537555
-
- Home Health Agency
- Wilmington, NC
- NPI 1760470660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1508821992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1527",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284721527",
"telephone_number": "910-642-0300",
"fax_number": "910-640-3327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 HILL PLZ STE A",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284724950",
"telephone_number": "910-642-0300",
"fax_number": "910-640-3327"
}
],
"practiceLocations": [
{
"address_1": "109 N Jk Powell Blvd",
"address_purpose": "LOCATION",
"city": "Whiteville",
"state": "NC",
"postal_code": "284723123",
"country_code": "US",
"telephone_number": "910-642-0300",
"fax_number": "910-640-3327",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERRY",
"first_name": "RICHARD",
"middle_name": "GARTH",
"name_prefix": "Dr.",
"credential": "MD, FACP, FACGS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "36494",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE - INDIVIDUAL",
"identifier": "080190419",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD STATE",
"identifier": "0245H",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTA GBA",
"identifier": "110069099",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTH CARE PLAN",
"identifier": "216449",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH CAROLINA MEDICAID",
"identifier": "NPB005",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLUECROSS BLUESHIELD",
"identifier": "0245H",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4140662",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89013UY",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CK5068",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "141838016",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - INDIVIDUAL",
"identifier": "15212",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N36494",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTION BLUECROSS BLUESHIELD",
"identifier": "0245H",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTION BCBS- INDIVIDUAL",
"identifier": "15212",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH CAROLINA MEDICAID- INDIVIDUAL",
"identifier": "N36494",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS STATE - INDIVIDUAL",
"identifier": "15212",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "0245H",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "141838016",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BCBS- INDIVIDUAL",
"identifier": "15212",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - INDIVIDUAL",
"identifier": "2183703F",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7067596009",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC MEDICAID - INDIVIDUAL",
"identifier": "8915212",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "richard.berry.1@19603.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "Athena Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Athena secure direct address",
"address_1": "15 Hill Plz Ste A",
"city": "Whiteville",
"state": "NC",
"country_code": "US",
"postal_code": "284724950",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Whiteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.