Ahoskie Medical Practice, Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

AHOSKIE MEDICAL PRACTICE, INC

Practice address

703 Catherine Creek Rd S
Ahoskie, NC 27910-3905

Phone

(252) 209-0088

Fax

(252) 209-0088

NPI assigned

Oct 17, 2019

Last updated

Oct 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Penny Lynn Brown, FNPNPI 1245216449

Title

Owner/ Mid-Level Provider

Phone

(252) 209-0088

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: pennybrown@amp.allscriptsdirect.net

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Penny L. Brown, NP

  • Family Nurse Practitioner
  • Ahoskie, NC
  • NPI 1245216449
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1710529128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 BROWN RD",
            "city": "COLERAIN",
            "state": "NC",
            "postal_code": "279249412",
            "telephone_number": "252-209-0088",
            "fax_number": "202-209-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 CATHERINE CREEK RD S",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103905",
            "telephone_number": "252-209-0088",
            "fax_number": "252-209-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHOSKIE MEDICAL PRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/ MID-LEVEL PROVIDER",
        "authorized_official_telephone_number": "252-209-0088",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ahoskie Medical Associates Inc
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• Albemarle Orthotics & Prosthetics, Inc
• All American Health Counseling
• All American Home Health Care

• Family Nurse Practitioner in Ahoskie, NC
• Providers in Ahoskie, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.