Individual provider Active NPI

Mary Margaret Humphreys-Sprague, DNP

  • Gerontology Nurse Practitioner
  • Jacksonville, NC
National Provider Identifier
1730815259
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
5016350 Issued in NC
Practice address
Carolina Rivers Nursing and Rehabilitation
1839 Onslow Dr
Jacksonville, NC 28540
Phone
(910) 455-3610
NPI assigned
Jul 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 5016350 NC Primary

Addresses

Primary practice location

Carolina Rivers Nursing and Rehabilitation
1839 Onslow Dr
Jacksonville, NC 28540

Mailing address

278 Skippers LN
New Bern, NC 28562-6579
Phone (252) 876-1448

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220907000196 NC Practitioner - Nurse Practitioner 1951785161 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5016350NCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Southeast, LLC CurrentSince Dec 21, 2024 Accepting new patients
Inpatient Consultants of North Carolina, PC CurrentSince Aug 16, 2022 Accepting new patients
NM Pacs 2 LLC CurrentSince Aug 16, 2022 Accepting new patients
Inpatient Consultants of North Carolina, PC CurrentSince Aug 16, 2022 Accepting new patients

Locations

707 N Elm St
High Point, NC 27262
Phone (336) 885-0141

225 White St
Jacksonville, NC 28546
Phone (910) 353-7222

1839 Onslow Dr
Jacksonville, NC 28540
Phone (910) 455-3610

204 E Old Highway 74
Monroe, NC 28112
Phone (704) 283-3066

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

179 Combs St
Sparta, NC 28675
Phone (336) 372-2441

Organizations & group practices 4

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": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1730815259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 SKIPPERS LN",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285626579",
            "telephone_number": "252-876-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAROLINA RIVERS NURSING AND REHABILITATION",
            "address_2": "1839 ONSLOW DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28540",
            "telephone_number": "910-455-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREYS-SPRAGUE",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5016350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.