Organization Active NPI

Eastern Neurosurgical and Spine Associates

  • Neurological Surgery Physician
  • Greenville, NC
National Provider Identifier
1609983592
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
9300351 Issued in NC
Legal business name
EASTERN NEUROSURGICAL AND SPINE ASSOCIATES
Practice address
2325 Stantonsburg Rd
Greenville, NC 27834-7534
Phone
(252) 752-5156
Fax
(252) 752-0399
NPI assigned
Aug 24, 2006
Last updated
Oct 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Dr. Franklin Douglas Jones, M.D.
Title
Presadent
Phone
(252) 752-5156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 9300351 NC Primary

Addresses

Primary practice location

2325 Stantonsburg Rd
Greenville, NC 27834-7534

Mailing address

2325 Stantonsburg Rd
Greenville, NC 27834-7534

Other identifiers 1

IdentifierTypeStateIssuer
8901516MedicaidNC

National Provider Directory

National Provider Directory

Locations

2325 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 752-5156

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1609983592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 STANTONSBURG RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 STANTONSBURG RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347534",
            "telephone_number": "252-752-5156",
            "fax_number": "252-752-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN NEUROSURGICAL AND SPINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESADENT",
        "authorized_official_telephone_number": "252-752-5156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NC",
            "license": "9300351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901516",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.