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
Hospital & facility affiliations 4
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
Practice addresses (Care Compare)
1204 Brown St
Washington, NC 27889-4671
Phone (252) 946-6546
Hospital & facility affiliations
- Gentiva Health Services
- Vidant Home Health and Hospice
- Ecu Health Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150311000254 | NC | Practitioner - Nurse Practitioner | 7810213816 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5007137 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current |
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
- ccowin53061@direct.vidanthealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ccowin53061@direct.vidanthealth.com | Health Information Exchange (HIE) |
NPI Registry JSON
{
"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
- Kathryn E Corey
- Cornerstone Community Support Services, Inc,
- Costwise Pharmacy Inc
- Costwise Pharmacy Inc
- Costwise Pharmacy Inc
- Lori R Dail
- Daring to Achieve
- Daring to Achieve, Inc
- David Lauren Fitzgerald OD PA
- Elizabeth Davis
All providers in Williamston, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.