Caddie Peele Cowin, NP

Individual provider Active NPI Family Nurse Practitioner · Williamston, NC

NPI 1740682160 · NPPES record last updated Jan 6, 2022

Key facts

NPI
1740682160
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
5007137 (NC)
Practice address
210 W Liberty St
Williamston, NC 27892-1712
Phone
(252) 793-1619
NPI assigned
Sep 17, 2014
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLC (986 clinicians)

Practice addresses (Care Compare)

1204 Brown St
Washington, NC 27889-4671
Phone (252) 946-6546

Hospital & facility affiliations

  • Gentiva Health Services Home health agency · Washington, NC · CCN 347329
  • Vidant Home Health and Hospice Home health agency · Washington, NC · CCN 347250
  • Ecu Health Medical Center Hospital · Greenville, NC · CCN 340040

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100 (apm)
Quality
82.44
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150311000254 NC Practitioner - Nurse Practitioner 7810213816 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5007137NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC Current
since Jun 1, 2019
Accepting new patients

Locations

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

1204 Brown St
Washington, NC 27889
Phone (252) 946-6544

210 W Liberty St
Williamston, NC 27892
Phone (252) 792-5151

Interoperability endpoints

  • Direct secure messaging: ccowin53061@direct.vidanthealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5007137 NC Yes

Addresses

Primary practice location

210 W Liberty St
Williamston, NC 27892-1712

Mailing address

198 NC Highway 45 N
Plymouth, NC 27962-9232
Phone (252) 793-1619

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address ccowin53061@direct.vidanthealth.com Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 6, 2022.

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1740682160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 NC HIGHWAY 45 N",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279629232",
            "telephone_number": "252-793-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W LIBERTY ST",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278921712",
            "telephone_number": "252-793-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWIN",
        "first_name": "CADDIE",
        "middle_name": "PEELE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccowin53061@direct.vidanthealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2100 Stantonsburg Rd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamston, NC

All providers in Williamston, NC · Family Nurse Practitioner in North Carolina

Sources for this page

Verify at the official NPI Registry.