Active NPI
Clinton Edward Massey, M.D.
- Neurological Surgery Physician
- Goldsboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 200201492
- Practice address
- 625 Country Day Rd
Goldsboro Neurological Surgery
Goldsboro, NC 27530-8888 - Phone
- (919) 731-4048
- Fax
- (919) 731-2402
- NPI assigned
- May 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 200201492 | NC | Primary |
Addresses
Primary practice location
625 Country Day Rd
Goldsboro Neurological Surgery
Goldsboro, NC 27530-8888
Mailing address
PO Box 751069
Goldsboro Neurological Surgery
Charlotte, NC 28275-1069
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89133T8 | Medicaid | NC | |
| 133T8 | Other | NC | BLUE CROSS BLUE SHIELD |
| P00444727 | Other | NC | MEDICARE RR |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200201492 | NC | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic | Current | Accepting new patients | |
| East Carolina University | Neurological Surgery | Current | Accepting new patients |
| Firsthealth of the Carolinas Inc | Neurological Surgery | Current | Accepting new patients |
| East Carolina University | Current | Accepting new patients | |
| Firsthealth of the Carolinas, Inc. | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients |
Locations
625 Country Day Rd
Goldsboro, NC 27530
Phone (919) 731-4048
600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
10 Aviemore Dr
Pinehurst, NC 28374
Phone (910) 215-5555
Interoperability endpoints
- https://epicrp.firsthealth.org/FHIR-PRD/FHMYCHART/api/FHIR/R4
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Greenville, NC
- NPI 1972551919
-
- Rural Health Clinic/Center
- Troy, NC
- NPI 1548276389
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- Internal Medicine Physician
- Greenville, NC
- NPI 1043260474
Neurological Surgery
-
- Neurological Surgery Physician
- Pinehurst, NC
- NPI 1255591566
-
- Obesity Medicine (Preventive Medicine) Physician
- Pinehurst, NC
- NPI 1316626104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328054400000",
"number": "1700831914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751069",
"address_2": "GOLDSBORO NEUROLOGICAL SURGERY",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 COUNTRY DAY RD",
"address_2": "GOLDSBORO NEUROLOGICAL SURGERY",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275308888",
"telephone_number": "919-731-4048",
"fax_number": "919-731-2402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSEY",
"first_name": "CLINTON",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2012-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NC",
"license": "200201492",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89133T8",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "133T8",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00444727",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.