NPIMap

Organization Active NPI

Express Care & Family Practice Center, PA

  • Medical Specialty Clinic/Center
  • Roanoke Rapids, NC
National Provider Identifier
1831473057
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
101911 Issued in NC
Legal business name
EXPRESS CARE & FAMILY PRACTICE CENTER, PA
Practice address
93 NC Highway 125
Roanoke Rapids, NC 27870-6351
Phone
(252) 308-0686
Fax
(252) 308-0729
NPI assigned
Oct 6, 2011
Last updated
Jan 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Mr. Carlton Reid Beaman Jr., PA-CNPI 1093713117
Title
Physician Assistant
Phone
(252) 308-0686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 101911 NC Primary

Addresses

Primary practice location

93 NC Highway 125
Roanoke Rapids, NC 27870-6351

Mailing address

93 NC Highway 125
Roanoke Rapids, NC 27870-6351
Phone (252) 308-0686

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1831473057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 NC HIGHWAY 125",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278706351",
            "telephone_number": "252-308-0686",
            "fax_number": "252-308-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 NC HIGHWAY 125",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278706351",
            "telephone_number": "252-308-0686",
            "fax_number": "252-308-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS CARE & FAMILY PRACTICE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "BEAMAN",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_middle_name": "REID",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "252-308-0686",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "101911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.