Individual provider Active NPI

Quentin Alexander Mewborn Jr., MD

  • Family Medicine Physician
  • Greenville, NC
National Provider Identifier
1831240308
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16423 Issued in NC
Practice address
2210 Hemby LN
Suite 105
Greenville, NC 27834-3773
Phone
(252) 752-7133
Fax
(252) 752-6120
NPI assigned
Jan 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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 16423 NC Primary

Addresses

Primary practice location

2210 Hemby LN
Suite 105
Greenville, NC 27834-3773

Mailing address

800 Moye Blvd.
Ste. a
Greenville, NC 27834
Phone (252) 752-7133

Other identifiers 1

IdentifierTypeStateIssuer
8958755MedicaidNC

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
I20041215000983 NC Practitioner - Family Practice 2961308523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenville Family Doctors, PAGroup PAC ID 2365348927, 3 clinicians

Practice addresses (Care Compare)

800 Moye Blvd
Suite a
Greenville, NC 27834-4169
Phone 25275271332008

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Greenville, NC, CCN 347031
  • 3HC Home health agency, Goldsboro, NC, CCN 347104
  • Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040

Merit-based Incentive Payment System (MIPS)

Final score
26.57 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
88.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16423NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Family Doctors, PA Family Medicine CurrentSince Oct 1, 1986 Accepting new patients

Locations

800 Moye Blvd
Ste A
Greenville, NC 27834
Phone (252) 752-7133

2210 Hemby Ln
Ste 105
Greenville, NC 27834
Phone (252) 752-7133

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1831240308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MOYE BLVD.",
            "address_2": "STE. A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27834",
            "telephone_number": "252-752-7133",
            "fax_number": "252-752-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 HEMBY LN",
            "address_2": "SUITE 105",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343773",
            "telephone_number": "252-752-7133",
            "fax_number": "252-752-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEWBORN",
        "first_name": "QUENTIN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "16423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8958755",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.