Individual provider Active NPI

Clifford Austin Nelson Curtis, MD

  • Internal Medicine Physician
  • Raleigh, NC
National Provider Identifier
1548459142
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19344 Issued in NC
Practice address
North Carolina Department of Corrections; 4287 Bragg St
Raleigh, NC 27699-0001
Phone
(919) 733-4340
NPI assigned
Oct 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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 19344 NC Primary

Addresses

Primary practice location

North Carolina Department of Corrections; 4287 Bragg St
Raleigh, NC 27699-0001

Mailing address

North Carolina Department of Corrections; 4287 Bragg St
Raleigh, NC 27699-0001
Phone (919) 733-4340

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19344NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Michigan Emergenc Physicians, LLP 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.

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1548459142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NORTH CAROLINA DEPARTMENT OF CORRECTIONS; 4287 BRAGG ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276990001",
            "telephone_number": "919-733-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTH CAROLINA DEPARTMENT OF CORRECTIONS; 4287 BRAGG ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276990001",
            "telephone_number": "919-733-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "CLIFFORD",
        "middle_name": "AUSTIN NELSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "19344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.