NPIMap

Organization Active NPI

Albemarle Physician Services - Sentara, Inc

Doing business as Sentara Family Medicine Physicians

  • Family Medicine Physician
  • Elizabeth City, NC
National Provider Identifier
1760158315
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALBEMARLE PHYSICIAN SERVICES - SENTARA, INC
Doing business as
Sentara Family Medicine Physicians
Practice address
1141 N Road St Ste G
Elizabeth City, NC 27909-3354
Phone
(252) 337-9120
Fax
(855) 330-7350
NPI assigned
Aug 23, 2021
Last updated
Aug 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Authorized official

Name
Doris Prince
Title
Director
Phone
(757) 983-5475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1141 N Road St Ste G
Elizabeth City, NC 27909-3354

Mailing address

1141 N Road St Ste G
Elizabeth City, NC 27909-3354
Phone (252) 337-9120

Other names 1

  • Sentara Family Medicine Physicians Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Albemarle Physician Services - Sentara Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1760158315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 N ROAD ST STE G",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093354",
            "telephone_number": "252-337-9120",
            "fax_number": "855-330-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 N ROAD ST STE G",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093354",
            "telephone_number": "252-337-9120",
            "fax_number": "855-330-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBEMARLE PHYSICIAN SERVICES - SENTARA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-983-5475"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Family Medicine Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.