Active NPI
James P O'Connor, CPNP
- Child Abuse Pediatrics Physician
- Rocky Mount, NC
National Provider Identifier
1841851912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Abuse Pediatrics Physician
- License
- 5011889
- Practice address
- 116 N Englewood Dr
Rocky Mount, NC 27804-2452 - Phone
- (252) 446-7623
- NPI assigned
- Jun 27, 2019
- Last updated
- Jun 27, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Abuse Pediatrics Physician | 2080C0008X | 5011889 | NC | Primary |
Addresses
Primary practice location
116 N Englewood Dr
Rocky Mount, NC 27804-2452
Mailing address
631 Botan Way
Hillsborough, NC 27278-8123
Phone (919) 768-3454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5011889 | NC | MD | Child Abuse Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southmountain Children and Family Services | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Nebo, NC
- NPI 1467763797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1841851912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 BOTAN WAY",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "272788123",
"telephone_number": "919-768-3454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 N ENGLEWOOD DR",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278042452",
"telephone_number": "252-446-7623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "JAMES",
"middle_name": "P",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-27",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "2080C0008X",
"taxonomy_group": "",
"desc": "Pediatrics, Child Abuse Pediatrics",
"state": "NC",
"license": "5011889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
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- Nutradrip IV Hydration & Wellness Clinic, PLLC
- Kevin Otundo Nyabera, MD
- Crystal St. Clair O'Briant, MSW, P-LCSW
- Jason M O'Briant, RD
- Anne Huitt Davis O'Hara, FNP
- Oakwood Pharmacy Inc (Oakwood Pharmacy)
- Oakwood Pharmacy Inc
- Oasis Home Care Services, Inc.
- Oasis II Home Care Services Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.