Organization Active NPI

Carolina Infectious Diseases Consultants PC

  • Infectious Disease Physician
  • Lumberton, NC
National Provider Identifier
1588816482
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
CAROLINA INFECTIOUS DISEASES CONSULTANTS PC
Practice address
395 W 27TH St
Lumberton, NC 28358-3018
Phone
(910) 738-3434
NPI assigned
Oct 22, 2008
Last updated
Aug 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Obiefuna Perry Okoye, M.D,M.P.HNPI 1740234434
Title
Owner
Phone
(910) 738-3434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X Primary

Addresses

Primary practice location

395 W 27TH St
Lumberton, NC 28358-3018

Mailing address

3771 Ramsey St
Suite 109-144
Fayetteville, NC 28311-7675
Phone (910) 738-3434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081231000253 NC Part B Supplier - Clinic/Group Practice 7315009271 Receives reassigned benefits from 1 practitioner
Practice locations: Lumberton, NC

National Provider Directory

National Provider Directory

Locations

3771 Ramsey St
Fayetteville, NC 28311

3771 Ramsey St
Ste 109144
Fayetteville, NC 28311

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1588816482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3771 RAMSEY ST",
            "address_2": "SUITE 109-144",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283117675",
            "telephone_number": "910-738-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W 27TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583018",
            "telephone_number": "910-738-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA INFECTIOUS DISEASES CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "OKOYE",
        "authorized_official_first_name": "OBIEFUNA",
        "authorized_official_middle_name": "PERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-738-3434",
        "authorized_official_credential": "M.D,M.P.H"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.