Albert a Verrilli MD,PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29511 Issued in NC

Legal business name

ALBERT A VERRILLI MD,PA

Practice address

603 Beaman St
Clinton, NC 28328-2650

Phone

(910) 590-3397

Fax

(910) 592-1334

NPI assigned

Nov 12, 2006

Last updated

Jun 30, 2008By 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. Albert Alexander Verrilli III, M.D.NPI 1982775037

Title

President

Phone

(910) 590-3397

Specialties & licenses 1

Addresses

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.

• Albert Alexander Verrilli III, M.D.

  • Family Medicine Physician
  • Clinton, NC
  • NPI 1982775037
  Authorized official Same address or phone

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1598836645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282650",
            "telephone_number": "910-590-3397",
            "fax_number": "910-592-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282650",
            "telephone_number": "910-590-3397",
            "fax_number": "910-592-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT A VERRILLI MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-12",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "VERRILLI",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-590-3397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "29511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Physical Therapy of Clinton LLC
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• Juanita Aiken, LPC
• Jordan Reagan Aikens, MD
• All Seasons Home Care (All Seasons in Home Care)
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• Tabitha Allen
• Alternative Care Treatments Systems, Inc-Clinton
• Alternative Staffing

• Family Medicine Physician in Clinton, NC
• Providers in Clinton, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.