Organization Active NPI

Godfrey D Onime MD PC

  • Internal Medicine Physician
  • Lumberton, NC
National Provider Identifier
1770538555
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200201138 Issued in NC
Legal business name
GODFREY D ONIME MD PC
Practice address
4900 Fayetteville Rd
Lumberton, NC 28358-2110
Phone
(910) 739-8899
Fax
(910) 739-7174
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Dr. Godfrey D Onime, M.D.
Title
President
Phone
(910) 739-8899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 200201138 NC Primary

Addresses

Primary practice location

4900 Fayetteville Rd
Lumberton, NC 28358-2110

Mailing address

4900 Fayetteville Rd
Lumberton, NC 28358-2110
Phone (910) 739-8899

Other names 1

  • SOUTHEASTERN MEDICAL PRACTICE Doing business as

National Provider Directory

National Provider Directory

Locations

4348 Fayetteville Rd
#A
Lumberton, NC 28358
Phone (910) 739-8899

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1770538555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 FAYETTEVILLE RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582110",
            "telephone_number": "910-739-8899",
            "fax_number": "910-739-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 FAYETTEVILLE RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582110",
            "telephone_number": "910-739-8899",
            "fax_number": "910-739-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODFREY D ONIME MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "ONIME",
        "authorized_official_first_name": "GODFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-739-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200201138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHEASTERN MEDICAL PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.