Individual provider Active NPI

Josette Maria, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Dunn, NC
National Provider Identifier
1629076690
Registry record updated Aug 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
200100412 Issued in NC
Practice address
800 Susan Tart Rd
Dunn, NC 28334-5506
Phone
(910) 892-8892
Fax
(910) 892-1063
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200100412 NC
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 200100412 NC Primary

Addresses

Primary practice location

800 Susan Tart Rd
Dunn, NC 28334-5506

Mailing address

800 Susan Tart Rd
Dunn, NC 28334-5506
Phone (910) 892-8892

Other identifiers 2

IdentifierTypeStateIssuer
891281EMedicaidNC
1281EOtherNCBCBS NC PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040216000702 NC Practitioner - Internal MedicinePractitioner - Geriatric Medicine 7618862095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Hahneman Medical College of the Pacific, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

800 Susan Tart Rd
Dunn, NC 28334-5506
Phone (910) 892-8892

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200100412NCMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Medical Center, PLLC Internal Medicine CurrentSince Jun 21, 2001 Accepting new patients

Locations

800 Susan Tart Rd
Dunn, NC 28334
Phone (910) 892-8892

13840 NC 210 S
Spring Lake, NC 28390
Phone (910) 304-1212

Interoperability endpoints

  • Direct secure messaging: josette.maria.1@12807.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628899200000",
    "number": "1629076690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SUSAN TART RD",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345506",
            "telephone_number": "910-892-8892",
            "fax_number": "910-892-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SUSAN TART RD",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345506",
            "telephone_number": "910-892-8892",
            "fax_number": "910-892-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIA",
        "first_name": "JOSETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200100412",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "200100412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891281E",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC PROVIDER NUMBER",
            "identifier": "1281E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

Verify at the official NPI Registry.