Individual provider Active NPI

Erica Nicole Mingo, D,O.

  • General Practice Physician
  • Portsmouth, VA
National Provider Identifier
1841588548
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2020-03148 Issued in NC
Practice address
620 John Paul Jones Cir
Graduate Medical Education
Portsmouth, VA 23708-2197
Phone
(757) 953-0669
NPI assigned
Jul 14, 2011
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 2020-03148 NC Primary
General Practice Physician 208D00000X 03148 NC

Addresses

Primary practice location

620 John Paul Jones Cir
Graduate Medical Education
Portsmouth, VA 23708-2197

Mailing address

Franklin Correction Facility
5918 NC-39
Bunn, NC 27508
Phone (919) 496-6119

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
I20231116000289 NC Practitioner - General Practice 0840682712 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03148NCMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Eldercare PA General Practice CurrentSince Nov 8, 2023 Accepting new patients
Curana Health of North Carolina PLLC CurrentSince Nov 8, 2023 Accepting new patients

Locations

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114

Interoperability endpoints

  • Direct secure messaging: erica.mingo.1@8042.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1841588548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FRANKLIN CORRECTION FACILITY",
            "address_2": "5918 NC-39",
            "city": "BUNN",
            "state": "NC",
            "postal_code": "27508",
            "telephone_number": "919-496-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "address_2": "GRADUATE MEDICAL EDUCATION",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082197",
            "telephone_number": "757-953-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGO",
        "first_name": "ERICA",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "D,O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "2020-03148",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "03148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.