Active NPI
Patricia Ann McCarron, MD
- General Practice Physician
- Kinston, NC
National Provider Identifier
1619016276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 8601670
- Practice address
- 2415 West Vernonn Ave
Caswell Center
Kinston, NC 28504-3321 - Phone
- (252) 208-4044
- Fax
- (252) 208-4035
- NPI assigned
- Feb 6, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 8601670 | NC | Primary |
Addresses
Primary practice location
2415 West Vernonn Ave
Caswell Center
Kinston, NC 28504-3321
Mailing address
301 Club Pines Drive
Greenville, NC 27834
Phone (252) 830-6260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3406105 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8601670 | NC | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1619016276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 CLUB PINES DRIVE",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27834",
"telephone_number": "252-830-6260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 WEST VERNONN AVE",
"address_2": "CASWELL CENTER",
"city": "KINSTON",
"state": "NC",
"postal_code": "285043321",
"telephone_number": "252-208-4044",
"fax_number": "252-208-4035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARRON",
"first_name": "PATRICIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NC",
"license": "8601670",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3406105",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.