NPIMap

Organization Active NPI

Comprehensive Medical Care Services of Eastern NC

  • Rural Health Clinic/Center
  • Powellsville, NC
National Provider Identifier
1801305602
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
COMPREHENSIVE MEDICAL CARE SERVICES OF EASTERN NC
Practice address
105 Commerce Street
Powellsville, NC 27967
Phone
(252) 332-6484
Fax
(252) 332-1660
NPI assigned
Sep 25, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Steven Ferguson, MDNPI 1295788628
Title
Medicial Doctor
Phone
(252) 332-6484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 36700 NC
Rural Health Clinic/Center 261QR1300X NC Primary
Rural Health Clinic/Center 261QR1300X 36700 NC

Addresses

Primary practice location

105 Commerce Street
Powellsville, NC 27967

Mailing address

105 Commerce Street
Powellsville, NC 27967
Phone (252) 332-6484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210219000495 NC Part B Supplier - Clinic/Group Practice 6204241524 Receives reassigned benefits from 1 practitioner
Practice locations: Powellsville, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801305602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 COMMERCE STREET",
            "city": "POWELLSVILLE",
            "state": "NC",
            "postal_code": "27967",
            "telephone_number": "252-332-6484",
            "fax_number": "252-332-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COMMERCE STREET",
            "city": "POWELLSVILLE",
            "state": "NC",
            "postal_code": "27967",
            "telephone_number": "252-332-6484",
            "fax_number": "252-332-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MEDICAL CARE SERVICES OF EASTERN NC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MEDICIAL DOCTOR",
        "authorized_official_telephone_number": "252-332-6484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "36700",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NC",
            "license": "36700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powellsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.