Excellent Spirit Enterprise, Inc.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

200000114 Issued in NC

Legal business name

EXCELLENT SPIRIT ENTERPRISE, INC.

Practice address

9201 County Line Road
Sharpsburg, NC 27878-0098

Phone

(252) 446-4455

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

John R. Pickett, D.O.NPI 1629134127

Title

Provider

Phone

(252) 446-4455

Specialties & licenses 1

Addresses

Other names 1

• Medical Clinic of Sharpsburg Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Robert Pickett

  • Family Medicine Physician
  • Sharpsburg, NC
  • NPI 1629134127
  NPD (past) Authorized official

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1619033115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 COUNTY LINE ROAD",
            "address_2": "P.O. BOX 98",
            "city": "SHARPSBURG",
            "state": "NC",
            "postal_code": "278780098",
            "telephone_number": "252-446-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 COUNTY LINE ROAD",
            "city": "SHARPSBURG",
            "state": "NC",
            "postal_code": "278780098",
            "telephone_number": "252-446-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT SPIRIT ENTERPRISE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "252-446-4455",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NC",
            "license": "200000114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Clinic of Sharpsburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tony Barnes
• Comprehensive Community Care, Inc.
• Dva Renal Healthcare, Inc.
• Excellent Spirit Enterprise, Inc.
• Kendria Trinette Mitchell
• New Directions of Sharpsburg, Inc
• John Robert Pickett

• Rural Health Clinic/Center in Sharpsburg, NC
• Providers in Sharpsburg, NC by specialty
• Rural Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.