NPIMap

Organization Active NPI

Kinston Head and Neck Physicians and Surgeons, P.a.

  • Otolaryngology Physician
  • Kinston, NC
National Provider Identifier
1801966395
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
KINSTON HEAD AND NECK PHYSICIANS AND SURGEONS, P.A.
Practice address
701 Doctors Dr Ste K
Kinston, NC 28501-1584
Phone
(252) 523-0687
Fax
(252) 523-0255
NPI assigned
Nov 9, 2006
Last updated
Aug 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Authorized official

Name
Dr. Charles BeasleyNPI 1184794646
Title
M.D.
Phone
(252) 523-0687

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

701 Doctors Dr Ste K
Kinston, NC 28501-1584

Mailing address

701 Doctors Drive
Suite K
Kinston, NC 28501-1584
Phone (252) 523-0687

Other identifiers 1

IdentifierTypeStateIssuer
8901959MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080506000037 NC Part B Supplier - Clinic/Group Practice 2567541345 Receives reassigned benefits from 12 practitioners
Practice locations: Cedar Point, NC; Kinston, NC

National Provider Directory

National Provider Directory

Locations

701 Doctors Dr
Ste K
Kinston, NC 28501
Phone (252) 523-0687

3601 Bridges St
#G
Morehead City, NC 28557
Phone (800) 373-3411

Interoperability endpoints

  • Direct secure messaging: andreajones@khnp.allscriptsdirect.net
  • Direct secure messaging: annrouse@khnp.allscriptsdirect.net
  • Direct secure messaging: barbaragoheen@khnp.allscriptsdirect.net
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/11398844
  • Direct secure messaging: johncunningham@khnp.allscriptsdirect.net
  • Direct secure messaging: mollylane@khnp.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 12

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1801966395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 DOCTORS DRIVE",
            "address_2": "SUITE K",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011584",
            "telephone_number": "252-523-0687",
            "fax_number": "252-523-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DOCTORS DR STE K",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011584",
            "telephone_number": "252-523-0687",
            "fax_number": "252-523-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINSTON HEAD AND NECK PHYSICIANS AND SURGEONS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "252-523-0687",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901959",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.