Organization Active NPI

Atlantic Fetal Medicine PA

  • Maternal & Fetal Medicine Physician
  • Jacksonville, NC
National Provider Identifier
1609926294
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
87734 Issued in NC
Legal business name
ATLANTIC FETAL MEDICINE PA
Practice address
411 Western Blvd Ste C
Jacksonville, NC 28546-6822
Phone
(910) 346-1199
Fax
(910) 346-2551
NPI assigned
Jan 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeffrey Warren Wright, MD
Title
President
Phone
(910) 346-1199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VM0101X 87734 NC Primary

Addresses

Primary practice location

411 Western Blvd Ste C
Jacksonville, NC 28546-6822

Mailing address

PO Box 1047
Wrightsville Beach, NC 28480-1047
Phone (910) 346-1199

National Provider Directory

National Provider Directory

Locations

411 Western Blvd
Ste C
Jacksonville, NC 28546
Phone (910) 346-1199

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609926294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1047",
            "city": "WRIGHTSVILLE BEACH",
            "state": "NC",
            "postal_code": "284801047",
            "telephone_number": "910-346-1199",
            "fax_number": "910-346-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 WESTERN BLVD STE C",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466822",
            "telephone_number": "910-346-1199",
            "fax_number": "910-346-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC FETAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-346-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NC",
            "license": "87734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.