Individual provider Active NPI

Joseph F Nutz Jr., M.D.

  • Family Medicine Physician
  • Morehead City, NC
National Provider Identifier
1760488175
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9501032 Issued in NC
Practice address
3004 Bridges St
Morehead City, NC 28557-3330
Phone
(252) 499-2211
Fax
(252) 727-4936
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9501032 NC Primary

Addresses

Primary practice location

3004 Bridges St
Morehead City, NC 28557-3330

Mailing address

PO Box 986513
Department 100
Boston, MA 02298-6513
Phone (910) 219-8326

Other practice location 1

812 W Haggard Ave
Elon, NC 27244-9134
Phone (336) 449-4030

Other practice location 2

100 Ridge View Dr Ste 105
Cary, NC 27511-5589
Phone (919) 859-7044

Other practice location 3

114C Memorial Dr
Jacksonville, NC 28546-6328
Phone (910) 353-9688

Other practice location 4

338 Howard Blvd
Newport, NC 28570-7928
Phone (252) 223-5054

Other practice location 5

530 New Waverly Pl Ste 101
Cary, NC 27518-7414
Phone (919) 650-6066

Other identifiers 1

IdentifierTypeStateIssuer
8963432MedicaidNC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100514000753 NC Practitioner - Family Practice 4587564497 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Children'S and Multispecialty Clinic, PA Family Medicine CurrentSince Jun 24, 2020 Accepting new patients
Amm Healthcare, PA Family Medicine CurrentSince Jul 8, 2021 Accepting new patients
Family Care Clinic, P.a. Family Medicine Past Accepting new patients
Jacksonville Behavior and Mental Health PastSince Jun 28, 2020 Accepting new patients

Locations

530 New Waverly Pl
Ste 101
Cary, NC 27518
Phone (919) 233-3959

100 Ridge View Dr
Ste 105
Cary, NC 27511
Phone (919) 851-7867

124 Towerview Ct
Cary, NC 27513

812 W Haggard Ave
Elon College, NC 27244
Phone (336) 449-4030

120 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0581

114C Memorial Dr
Jacksonville, NC 28546
Phone (910) 346-3976

118 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0581

3004 Bridges St
Morehead City, NC 28557
Phone (252) 499-2211

338 Howard Blvd
Newport, NC 28570
Phone (252) 223-3291

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1760488175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986513",
            "address_2": "DEPARTMENT 100",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022986513",
            "telephone_number": "910-219-8326",
            "fax_number": "910-939-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 BRIDGES ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573330",
            "telephone_number": "252-499-2211",
            "fax_number": "252-727-4936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 W Haggard Ave",
            "address_purpose": "LOCATION",
            "city": "Elon",
            "state": "NC",
            "postal_code": "272449134",
            "country_code": "US",
            "telephone_number": "336-449-4030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Ridge View Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275115589",
            "country_code": "US",
            "telephone_number": "919-859-7044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114C Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285466328",
            "country_code": "US",
            "telephone_number": "910-353-9688",
            "fax_number": "910-353-7498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "338 Howard Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "NC",
            "postal_code": "285707928",
            "country_code": "US",
            "telephone_number": "252-223-5054",
            "fax_number": "252-223-4038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 New Waverly Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187414",
            "country_code": "US",
            "telephone_number": "919-650-6066",
            "fax_number": "919-882-1378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUTZ",
        "first_name": "JOSEPH",
        "middle_name": "F",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9501032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8963432",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

Verify at the official NPI Registry.