Hospice of Pamlico County, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

HOSO394 Issued in NC

Legal business name

HOSPICE OF PAMLICO COUNTY, INC.

Practice address

602 Main St
Bayboro, NC 28515

Phone

(252) 745-5171

Fax

(252) 745-7025

NPI assigned

May 15, 2006

Last updated

Nov 15, 2022By 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

Tonya Jordan

Title

Executive Director

Phone

(252) 745-5171

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841241882. Details of each certification follow.

• CCN 341593 Hospice · Active · Details

Hospice certification: CCN 341593

Legal name

HOSPICE OF PAMLICO COUNTY, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 25, 2007

Last certification

Jul 16, 2021

Ownership / control type

Non-Profit - Other

Organization structure

CorporationNon-profit

Incorporated

Apr 24, 1984 in NC

Enrollment address

602 Main Street
Bayboro, NC 28515

Listed as

Hospice of Pamlico County, IncCCN 341593 · All quality measures

Ownership

Non-Profit

Certified

Jun 25, 2007

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jennifer Aron, D.O.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • New Bern, NC
  • NPI 1114280096
  Care Compare affiliation
• Robert John Fisher, MD

  • Hospitalist Physician
  • New Bern, NC
  • NPI 1801836903

  Hospice

  Care Compare affiliation
• Suman Lamsal, MD

  • Internal Medicine Physician
  • Bayboro, NC
  • NPI 1235179698

  Hospice

  Care Compare affiliation
• William C Taylor, MD

  • Hematology & Oncology Physician
  • New Bern, NC
  • NPI 1700094174

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1841241882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6",
            "city": "BAYBORO",
            "state": "NC",
            "postal_code": "285150006",
            "telephone_number": "252-745-5171",
            "fax_number": "252-745-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 MAIN ST",
            "city": "BAYBORO",
            "state": "NC",
            "postal_code": "28515",
            "telephone_number": "252-745-5171",
            "fax_number": "252-745-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF PAMLICO COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-745-5171"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NC",
            "license": "HOSO394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greene County Health Care Incorporated (Contentnea Health Pamlico)
• Brandy Harrell, LCAS
• Heartworks Childrens Medical Home Mission (Still Waters)
• Hughes Montgomery Helm, M.D.
• Hope Clinic
• Joshua Hutchinson, PA-C
• Jodi Sampson Ipock
• Maureen Ann Jones, FNP
• Chevette Kelly
• Kellie Joiner King, LCSW

• Community Based Hospice Care Agency in Bayboro, NC
• Providers in Bayboro, NC by specialty
• Community Based Hospice Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.