Active NPI
Justin Kleinman
- Family Medicine Physician
- Pollocksville, NC
National Provider Identifier
1629765060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2026-01864
- Practice address
- 137 Medical LN
Pollocksville, NC 28573-8200 - Phone
- (252) 633-1010
- Fax
- (252) 224-3071
- NPI assigned
- Apr 18, 2023
- Last updated
- Jun 25, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 2026-01864 | NC | Primary |
Addresses
Primary practice location
137 Medical LN
Pollocksville, NC 28573-8200
Mailing address
PO Box 68
Pollocksville, NC 28573-0068
Phone (252) 276-7706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Suite 68
Pollocksville, NC 28573
PO Box
Suite 68
Pollocksville, NC 28573-0068
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2026-01864 | NC | MD | Family Medicine Physician |
Interoperability endpoints
- justin.kleinman.1@14035.direct.athenahealth.com
- justin.kleinman.1@17575.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1629765060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 68",
"city": "POLLOCKSVILLE",
"state": "NC",
"postal_code": "285730068",
"telephone_number": "252-276-7706",
"fax_number": "252-224-0378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 MEDICAL LN",
"city": "POLLOCKSVILLE",
"state": "NC",
"postal_code": "285738200",
"telephone_number": "252-633-1010",
"fax_number": "252-224-3071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEINMAN",
"first_name": "JUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-18",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2026-01864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pollocksville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.