Individual provider Active NPI

Richard Garth Berry, MD, FACP, FACGS

  • Internal Medicine Physician
  • Whiteville, NC
National Provider Identifier
1508821992
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36494 Issued in NC
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
080190419OtherNCRAILROAD MEDICARE - INDIVIDUAL
0245HOtherNCBLUECROSS BLUESHIELD STATE
110069099OtherNCPALMETTA GBA
216449OtherNCCOVENTRY HEALTH CARE PLAN
NPB005OtherSCSOUTH CAROLINA MEDICAID
0245HOtherNCFEDERAL BLUECROSS BLUESHIELD
4140662OtherNCAETNA
89013UYMedicaidNC
CK5068OtherNCRAILROAD MEDICARE
141838016OtherNCUNITED HEALTHCARE
15212OtherNCBCBS - INDIVIDUAL
N36494MedicaidSC
0245HOtherNCOPTION BLUECROSS BLUESHIELD
15212OtherNCOPTION BCBS- INDIVIDUAL
N36494OtherNCSOUTH CAROLINA MEDICAID- INDIVIDUAL
15212OtherNCBCBS STATE - INDIVIDUAL
0245HOtherNCBLUECROSS BLUESHIELD
141838016OtherNCTRICARE
15212OtherNCFEDERAL BCBS- INDIVIDUAL
2183703FOtherNCMEDICARE - INDIVIDUAL
7067596009OtherNCCIGNA
8915212OtherNCNC MEDICAID - INDIVIDUAL

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040624000157 NC Practitioner - Internal MedicinePractitioner - Hospitalist 5092616193 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
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

OrganizationSpecialtyStatusNew patients
Columbus Regional Health Network Internal Medicine CurrentSince Oct 1, 2012 Accepting new patients
Signet Healthcare, PC Internal Medicine CurrentSince Aug 15, 2002 Accepting new patients
Columbus Regional Health Network Internal Medicine Current Accepting new patients
County of Columbus Office of Accountant CurrentSince Jun 21, 2023 Accepting new patients
Columbus Regional Health Network CurrentSince Oct 1, 2012 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

  • FHIR API: https://api.platform.athenahealth.com/19603/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rberry@crhn.cernerdirect.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.