NPIMap

Organization Active NPI

West Columbus Family Practice PA

  • Family Medicine Physician
  • Chadbourn, NC
National Provider Identifier
1508850587
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WEST COLUMBUS FAMILY PRACTICE PA
Practice address
110 N Brown St
Chadbourn, NC 28431-1702
Phone
(910) 654-1701
Fax
(910) 654-5701
NPI assigned
Sep 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Mrs. Joyce Beaver, RN
Title
Ceo Owner
Phone
(910) 654-1701

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 36494 NC

Addresses

Primary practice location

110 N Brown St
Chadbourn, NC 28431-1702

Mailing address

PO Box 325
Chadbourn, NC 28431-0325
Phone (910) 654-1701

Other identifiers 3

IdentifierTypeStateIssuer
344630AMedicaidNC
0247YOtherNCBCBS
344634AMedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1508850587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "CHADBOURN",
            "state": "NC",
            "postal_code": "284310325",
            "telephone_number": "910-654-1701",
            "fax_number": "910-654-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N BROWN ST",
            "city": "CHADBOURN",
            "state": "NC",
            "postal_code": "284311702",
            "telephone_number": "910-654-1701",
            "fax_number": "910-654-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COLUMBUS FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "BEAVER",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "910-654-1701",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "36494",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344630A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0247Y",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344634A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadbourn, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.