Columbus Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0096-00530 Issued in NC

Legal business name

COLUMBUS INTERNAL MEDICINE PC

Practice address

626 Jefferson St
Whiteville, NC 28472-3708

Phone

(910) 642-3356

Fax

(910) 642-5433

NPI assigned

Sep 10, 2014

Last updated

Jan 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miriam Minu Fernz, MDNPI 1801824545

Title

Owner

Phone

(910) 642-3356

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Miriam Minu Fernz, M.D.

  • Internal Medicine Physician
  • Whiteville, NC
  • NPI 1801824545
  Authorized official Same address or phone

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1821499716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 JEFFERSON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723708",
            "telephone_number": "910-642-3356",
            "fax_number": "910-642-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 JEFFERSON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723708",
            "telephone_number": "910-642-3356",
            "fax_number": "910-642-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "FERNZ",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "MINU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-642-3356",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "00100831",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "0096-00530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891051N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbus County Orthopedics PA
• Columbus County Schools
• Columbus Emergency Group LLC
• Columbus Eye Associates OD PA
• Columbus Group Homes, Inc.
• Columbus Pediatric Therapy, Inc.
• Columbus Pediatrics & Adolescent Care PA
• Columbus Regional Diagnostics (Advanced Imaging)
• Columbus Regional Health Network (Columbus Regional Urgent Care)
• Columbus Regional Health Network (Advanced Family Care)

• Internal Medicine Physician in Whiteville, NC
• Providers in Whiteville, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.