Nelson Richard Ehly, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

102739 Issued in NC

Practice address

111 S Fairview Rd
Rocky Mount, NC 27801-6971

Phone

(252) 446-3333

Fax

(252) 446-0426

NPI assigned

Jul 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Richard Ehly Other name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Opportunities Industrialization Center, Inc

  dba Oic Family Medical Center at Happy Hill

  • Federally Qualified Health Center (FQHC)
  • Rocky Mount, NC
  • NPI 1528478237
  NPD
• Opportunities Industrialization Center, Inc

  dba OIC Specialty Care Center

  • Federally Qualified Health Center (FQHC)
  • Rocky Mount, NC
  • NPI 1639661796
  NPD
• Opportunities Industrialization Center, Inc.

  dba OIC Family Medical Center at Community Health Plaza

  • Federally Qualified Health Center (FQHC)
  • Rocky Mount, NC
  • NPI 1750734307
  NPD
• Raleigh Durham Medical Group PA

  • Family Medicine Physician
  • Cary, NC
  • NPI 1295784874
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1508887688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2723",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278022723",
            "telephone_number": "252-446-3333",
            "fax_number": "252-446-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S FAIRVIEW RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278016971",
            "telephone_number": "252-446-3333",
            "fax_number": "252-446-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHLY",
        "first_name": "NELSON",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015A5",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "EHLY",
            "prefix": "MR.",
            "credential": "P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Educare Community Living Corporation - North Carolina (Community Alternatives North Carolina)
• Educare Community Living Corporation North Carolina
• Educare Community Living Corporation North Carolina
• Edwards Enterprises Inc (Edwards Residential Care)
• Carolyn Robards Eggers, M.A., C.A.S.
• Eidson Speech and Language Services
• Stacy Corey Eidson, M.S., CCC/SLP
• Elizabeth E Miller DDS Ms PA (Rocky Mount Pediatric Dentistry)
• Jonta Elliott
• Willard Jackson Ellis Jr., DDS

• Physician Assistant in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.