Individual provider Active NPI

Clinton Edward Massey, M.D.

  • Neurological Surgery Physician
  • Goldsboro, NC
National Provider Identifier
1700831914
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
200201492 Issued in NC
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

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
89133T8MedicaidNC
133T8OtherNCBLUE CROSS BLUE SHIELD
P00444727OtherNCMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100908000432 NC Practitioner - Neurosurgery 1951445634 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200201492NCMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince Mar 5, 2018 Accepting new patients
East Carolina University Neurological Surgery CurrentSince Sep 1, 2011 Accepting new patients
Firsthealth of the Carolinas Inc Neurological Surgery CurrentSince Mar 5, 2018 Accepting new patients
East Carolina University Current Accepting new patients
Firsthealth of the Carolinas, Inc. Current Accepting new patients
Vidant Medical Group LLC CurrentSince Oct 1, 2014 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.