Englewood OB-GYN Associates PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

38079 Issued in NC

Legal business name

ENGLEWOOD OB-GYN ASSOCIATES PA

Practice address

140 N Englewood Dr
Rocky Mount, NC 27804-2416

Phone

(252) 937-6611

Fax

(252) 937-7388

NPI assigned

Jan 29, 2007

Last updated

Apr 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tommy R Harris, MDNPI 1982732087

Title

President

Phone

(252) 937-6611

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tommy Ray Harris, MD

  • Obstetrics & Gynecology Physician
  • Rocky Mount, NC
  • NPI 1982732087
  Authorized official Same address or phone
• Alfred Jenkins Covington Jr., M.D.

  • Allergy & Immunology Physician
  • Rocky Mount, NC
  • NPI 1720160880
  NPD
• Kim Cheree Brooks, MD

  • Obstetrics & Gynecology Physician
  • Morristown, TN
  • NPI 1770554578
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1558407205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7695",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27804",
            "telephone_number": "252-937-6611",
            "fax_number": "252-937-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N ENGLEWOOD DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042416",
            "telephone_number": "252-937-6611",
            "fax_number": "252-937-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEWOOD OB-GYN ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-937-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "38079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "890135E",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8939968",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.