Active NPI
East Carolina Health
- Physical Medicine & Rehabilitation Physician
- Ahoskie, NC
National Provider Identifier
1609011147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- EAST CAROLINA HEALTH
- Doing business as
- Vidant Roanoke Chowan Hospital
- Practice address
- 608 Academy St S
Ahoskie, NC 27910-3239 - Phone
- (252) 209-3690
- Fax
- (252) 209-3691
- NPI assigned
- Dec 12, 2008
- Organization subpart
- Yes
- Parent organization
- EAST CAROLINA HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian Harvill
- Title
- President
- Phone
- (252) 209-3175
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
608 Academy St S
Ahoskie, NC 27910-3239
Mailing address
PO Box 1385
Ahoskie, NC 27910-1385
Phone (252) 209-3690
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5950665 | Medicaid | NC | |
| 021A3 | Other | NC | BCBS |
Other names 1
- Vidant Roanoke Chowan Hospital
National Provider Directory
National Provider Directory- Part of
- Ahoskie Heart Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785283200000",
"number": "1609011147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1385",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279101385",
"telephone_number": "252-209-3690",
"fax_number": "252-209-3691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 ACADEMY ST S",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279103239",
"telephone_number": "252-209-3690",
"fax_number": "252-209-3691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST CAROLINA HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EAST CAROLINA HEALTH",
"enumeration_date": "2008-12-12",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A",
"authorized_official_last_name": "HARVILL",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "252-209-3175",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5950665",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "021A3",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vidant Roanoke Chowan Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ahoskie, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.