Joseph Jack Umesi, MD
Individual provider Active NPI Family Medicine Physician · Mamers, NC
NPI 1508823162 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508823162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Practice address
- 1000 Medical Center Road
Mamers, NC 27552 - Phone
- (910) 893-5402
- Fax
- (910) 893-2567
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200400427 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMH ER Physicians, LLC | Past | Accepting new patients | |
| First Choice Community Health Centers | Past | Accepting new patients | |
| First Choice Community Health Centers | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NC | Yes |
Addresses
Primary practice location
1000 Medical Center Road
Mamers, NC 27552
Mailing address
1000 Medical Center Road
Mamers, NC 27552
Phone (910) 893-5402
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89137K9 | Medicaid | NC |
Other providers in Mamers, NC
- Leslie Byrne
- First Choice Community Health Centers
- First Choice Community Health Centers
- First Choice Community Health Centers
- Marva B Rich
All providers in Mamers, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.