NPIMap

Organization Active NPI

Nash OB-GYN Associates, P.a.

  • Specialist
  • Rocky Mount, NC
National Provider Identifier
1730146267
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
39290 Issued in NC
Legal business name
NASH OB-GYN ASSOCIATES, P.A.
Practice address
200 Nash Medical Arts Mall
Rocky Mount, NC 27804-1470
Phone
(252) 443-5941
Fax
(252) 443-7059
NPI assigned
Apr 27, 2006
Last updated
Mar 25, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
UWH OF NCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Authorized official

Name
Kimberly L Sparks
Title
Practice Administrator
Phone
(252) 443-5941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 39290 NC Primary

Addresses

Primary practice location

200 Nash Medical Arts Mall
Rocky Mount, NC 27804-1470

Mailing address

200 Nash Medical Arts Mall
Rocky Mount, NC 27804-1470
Phone (252) 443-5941

Other identifiers 1

IdentifierTypeStateIssuer
8902277MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040921000272 NC Part B Supplier - Clinic/Group Practice 0244208049 Receives reassigned benefits from 12 practitioners
Practice locations: Rocky Mount, NC

National Provider Directory

National Provider Directory
Part of
A Woman Place in Fayetteville LLC

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1730146267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NASH MEDICAL ARTS MALL",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041470",
            "telephone_number": "252-443-5941",
            "fax_number": "252-443-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NASH MEDICAL ARTS MALL",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041470",
            "telephone_number": "252-443-5941",
            "fax_number": "252-443-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASH OB-GYN ASSOCIATES, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UWH OF NC",
        "enumeration_date": "2006-04-27",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "252-443-5941"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "39290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902277",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.