NPIMap

Organization Active NPI

Rocky Mount Family Medical Center PA

  • Primary Care Clinic/Center
  • Rocky Mount, NC
National Provider Identifier
1508919283
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ROCKY MOUNT FAMILY MEDICAL CENTER PA
Practice address
804 English Rd
Suite 100
Rocky Mount, NC 27804-6032
Phone
(252) 443-3133
Fax
(252) 443-6726
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Mrs. Donna P Brannan
Title
HR Asst
Phone
(252) 443-3133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

804 English Rd
Suite 100
Rocky Mount, NC 27804-6032

Mailing address

804 English Rd
Suite 100
Rocky Mount, NC 27804-6032
Phone (252) 443-3133

Other identifiers 1

IdentifierTypeStateIssuer
890246AMedicaidNC

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1508919283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 ENGLISH RD",
            "address_2": "SUITE 100",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278046032",
            "telephone_number": "252-443-3133",
            "fax_number": "252-443-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 ENGLISH RD",
            "address_2": "SUITE 100",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278046032",
            "telephone_number": "252-443-3133",
            "fax_number": "252-443-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNT FAMILY MEDICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "BRANNAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "HR ASST",
        "authorized_official_telephone_number": "252-443-3133",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890246A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.