NPIMap

Individual provider Active NPI

Jeffrey Gerard Coury, DO

  • Facial Plastic Surgery Physician
  • Whiteville, NC
National Provider Identifier
1740312487
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
OS012658 Issued in PA
Practice address
333 Jefferson St
Whiteville, NC 28472-3601
Phone
(910) 914-0540
Fax
(910) 914-0640
NPI assigned
Mar 9, 2007
Last updated
Jan 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X OS012658 PA Primary

Addresses

Primary practice location

333 Jefferson St
Whiteville, NC 28472-3601

Mailing address

333 Jefferson St
Whiteville, NC 28472-3601
Phone (910) 914-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080107000813 NC Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 6608956354 Reassigns benefits to 1 organization
I20130219000448 SC Practitioner - Otolaryngology 6608956354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Philadelphia College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Carolina ENT DO PAGroup PAC ID 8325082498, shared by 2 NPIs, 6 clinicians

Practice addresses (Care Compare)

302 Liberty St
Whiteville, NC 28472-3714
Phone (910) 914-0540

3806 Sawtell Rd
Little River, SC 29566-7873
Phone (843) 663-9090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.15 of 100Reported as group
Quality
78.3
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS012658PAMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina ENT, DO, PA Facial Plastic Surgery CurrentSince Jul 15, 2007 Accepting new patients
Coastal Carolina ENT DO PA CurrentSince Jul 15, 2007 Accepting new patients
Providence Anesthesiology Associates, P.a. Past Accepting new patients

Locations

509 Olde Waterford Way
Ste 204
Leland, NC 28451
Phone (910) 356-6100

2298 Ocean Hwy W
Supply, NC 28462
Phone (910) 755-2428

2298 Ocean Hwy W
#17
Supply, NC 28462
Phone (843) 399-9950

302 Liberty St
Whiteville, NC 28472
Phone (910) 642-3675

333 Jefferson St
Whiteville, NC 28472
Phone (910) 642-6915

110 Highway 17 S
Ste 112
North Myrtle Beach, SC 29582

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1740312487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 JEFFERSON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723601",
            "telephone_number": "910-914-0540",
            "fax_number": "910-914-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 JEFFERSON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723601",
            "telephone_number": "910-914-0540",
            "fax_number": "910-914-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURY",
        "first_name": "JEFFREY",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "PA",
            "license": "OS012658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

Verify at the official NPI Registry.