Individual provider Active NPI

Paul Ziomek, M.D.

  • Internal Medicine Physician
  • Eden, NC
National Provider Identifier
1548357908
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36083 Issued in NC
Practice address
250 W Kings Hwy
Eden, NC 27288-5010
Phone
(336) 864-2795
Fax
(336) 694-7511
NPI assigned
Oct 6, 2006
Last updated
Dec 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36083 NC Primary

Addresses

Primary practice location

250 W Kings Hwy
Eden, NC 27288-5010

Mailing address

439 US Highway 158 W
Yanceyville, NC 27379-8304
Phone (336) 694-9331

Other practice location 1

1905 Skibo Rd
ste 100
Fayetteville, NC 28314-0260
Phone (910) 864-4357

Other practice location 2

3637 Cape Center Dr
Fayetteville, NC 28304-4457
Phone (910) 491-1760

Other practice location 3

3205 Randall Pkwy Ste 105
Wilmington, NC 28403-2565
Phone (910) 742-9243

Other identifiers 4

IdentifierTypeStateIssuer
5903339MedicaidNC
5900143MedicaidNC
141OEOtherNCBCBS OF NC
P00267541OtherNCMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051206000961 NC Practitioner - Internal Medicine 7719955343 Reassigns benefits to 7 organizations
I20230804000039 SC Practitioner - Internal Medicine 7719955343 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
09510RLAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Eldercare PA CurrentSince Jul 24, 2023 Accepting new patients
Carolina Cape Fear Medical Group, PA CurrentSince Nov 14, 2018 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Sep 6, 2017 Accepting new patients
Appalachian Mountain Community Health Centers CurrentSince Jul 8, 2024 Accepting new patients
Impact Physician Group, South Carolina LLC Internal Medicine CurrentSince Jan 23, 2024 Accepting new patients
Accu Reference Medical Lab, LLC Current Accepting new patients
Rapha Health System Inc Internal Medicine CurrentSince Aug 1, 2014 Accepting new patients
CH Specialty Services SC LLC CurrentSince Jul 24, 2023 Accepting new patients
Curana Health of South Carolina PC Internal Medicine CurrentSince Jul 24, 2023 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Sep 6, 2017 Accepting new patients
Theoria Medical Internal Medicine CurrentSince Apr 23, 2024 Accepting new patients
Lifesource of North Carolina CurrentSince Dec 1, 2024 Accepting new patients
Curana Health of North Carolina PLLC Internal Medicine CurrentSince Jul 24, 2023 Accepting new patients
Appalachian Mountain Community Health Centers CurrentSince Jul 8, 2024 Accepting new patients
Lifesource of North Carolina Internal Medicine CurrentSince Dec 1, 2024 Accepting new patients
Goshen Medical Center, Incorporated Current Accepting new patients
Compassion Health Care Inc Past Accepting new patients
Theoria Medical Internal Medicine Past Accepting new patients
Rutherford Internal Medicine Associates PA Internal Medicine Past Accepting new patients
Accordius Health at Rutherford LLC Past Accepting new patients
Bertie County Rural Health Association PastSince Feb 2, 2020 Accepting new patients
Healthsouth Men's Clinic PastSince Nov 14, 2018 Accepting new patients

Locations

21 Eastbrook Bnd
Ste 218
Peachtree Cty, GA 30269
Phone (260) 407-8007

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

408 Fairview St
Clinton, NC 28328
Phone (910) 596-2400

444 SW Center St
Faison, NC 28341
Phone (919) 267-0421

1905 Skibo Rd
Ste 100
Fayetteville, NC 28314
Phone (910) 864-4357

3616 Cape Center Dr
Fayetteville, NC 28304
Phone (910) 779-0780

3637 Cape Center Dr
Fayetteville, NC 28304
Phone (910) 483-4938

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

409 Tallulah Rd
Robbinsville, NC 28771
Phone (828) 479-6434

188 Oscar Justice Rd
Rutherfordton, NC 28139
Phone (828) 286-9001

237 Tryon Rd
Rutherfordton, NC 28139
Phone (828) 286-7200

3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880

4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114

20 Pinnacle Pkwy
Elgin, SC 29045
Phone (260) 407-8007

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

6650 Rivers Ave
North Charleston, SC 29406
Phone (843) 260-5361

255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1548357908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 US HIGHWAY 158 W",
            "city": "YANCEYVILLE",
            "state": "NC",
            "postal_code": "273798304",
            "telephone_number": "336-694-9331",
            "fax_number": "336-694-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W KINGS HWY",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885010",
            "telephone_number": "336-864-2795",
            "fax_number": "336-694-7511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 Skibo Rd",
            "address_2": "ste 100",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283140260",
            "country_code": "US",
            "telephone_number": "910-864-4357",
            "fax_number": "910-864-4357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3637 Cape Center Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044457",
            "country_code": "US",
            "telephone_number": "910-491-1760",
            "fax_number": "910-491-1764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3205 Randall Pkwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284032565",
            "country_code": "US",
            "telephone_number": "910-742-9243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIOMEK",
        "first_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "36083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903339",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900143",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "141OE",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00267541",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, NC

Sources for this page

Verify at the official NPI Registry.