Active NPI
Joseph T Liverman, MD
- Family Medicine Physician
- Nashville, NC
National Provider Identifier
1548254337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9838
- Practice address
- 111 W Church St
Nashville, NC 27856-1327 - Phone
- (252) 459-4012
- Fax
- (252) 459-9773
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9838 | NC | Primary |
Addresses
Primary practice location
111 W Church St
Nashville, NC 27856-1327
Mailing address
111 W Church St
Nashville, NC 27856-1327
Phone (252) 459-4012
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8952310 | Medicaid | NC | |
| 80062827 | Other | NC | RAILROAD MEDICARE |
| 4693185 | Other | NC | CIGNA HEALTHCARE |
| 52310 | Other | NC | BCBSNC |
| 27143 | Other | NC | MEDCOST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9838 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boice-Willis Clinic, PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Rocky Mount, NC
- NPI 1952557241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298332800000",
"number": "1548254337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W CHURCH ST",
"city": "NASHVILLE",
"state": "NC",
"postal_code": "278561327",
"telephone_number": "252-459-4012",
"fax_number": "252-459-9773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W CHURCH ST",
"city": "NASHVILLE",
"state": "NC",
"postal_code": "278561327",
"telephone_number": "252-459-4012",
"fax_number": "252-459-9773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVERMAN",
"first_name": "JOSEPH",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2011-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "9838",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8952310",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "80062827",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "4693185",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "52310",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "27143",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.