Prime Care Physicians PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIME CARE PHYSICIANS PA

Practice address

2607 Medical Office PL Ste B
Goldsboro, NC 27534-9437

Phone

(919) 735-7580

Fax

(919) 735-1475

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Garrett Lee Rogers, MD

Title

Owner

Phone

(919) 735-7580

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 4

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

• Leonardo Montuya Zara, MD

  • Internal Medicine Physician
  • Goldsboro, NC
  • NPI 1194829499
  Medicare reassignment Care Compare group NPD
• Teresa Jean Cochran, PA

  • Physician Assistant
  • Goldsboro, NC
  • NPI 1962506246
  Medicare reassignment Care Compare group
• David Wiseman, PA-C

  • Physician Assistant
  • Tarboro, NC
  • NPI 1306987920
  Medicare reassignment
• Enrique Villa Marana, MD

  • Family Medicine Physician
  • Farmville, NC
  • NPI 1497717342
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1700976701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 MEDICAL OFFICE PL STE B",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349437",
            "telephone_number": "919-735-7580",
            "fax_number": "919-735-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 MEDICAL OFFICE PL STE B",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349437",
            "telephone_number": "919-735-7580",
            "fax_number": "919-735-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-735-7580",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790286H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Pryor Price, LPC, LCAS
• Lola Price
• Olivia Nicole Price
• Adam Pridgen, CADC
• Primary Health Choice, Inc.
• Juanitia Prince
• Professional Group Living, LLC
• Professional Group Living, LLC
• Professional Group Living,LLC
• Progressive Healthcare & Counseling Services Inc.

• Internal Medicine Physician in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.