Clinic on the Corner, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CLINIC ON THE CORNER, PLLC

Practice address

3918 Bishop Rd
Rocky Mount, NC 27804-2780

Phone

(252) 299-0057

Fax

(252) 673-2518

NPI assigned

Sep 27, 2022

Last updated

Oct 17, 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

Traci Morris, CREDENTIALING SPECIA

Title

Pracrice Manager

Phone

(702) 326-6749

Specialties & licenses 3

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: eburnette@npcliniconthecorner.org
• Direct secure messaging: tracim@npcliniconthecorner.org

Practitioners 1

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.

• Elizabeth Dawn Burnette, FNP

  • Family Nurse Practitioner
  • Rocky Mount, NC
  • NPI 1639489966
  Medicare reassignment NPD

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1841914561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 BISHOP RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27804",
            "telephone_number": "252-299-0057",
            "fax_number": "252-673-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 BISHOP RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042780",
            "telephone_number": "252-299-0057",
            "fax_number": "252-673-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC ON THE CORNER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "PRACRICE MANAGER",
        "authorized_official_telephone_number": "702-326-6749",
        "authorized_official_credential": "CREDENTIALING SPECIA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tracim@npcliniconthecorner.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Communication",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "3918 Bishop Rd",
            "city": "Rocky Mount",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278042780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eburnette@npcliniconthecorner.org",
            "affiliation": "N",
            "endpointDescription": "communication",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "3918 Bishop Rd",
            "city": "Rocky Mount",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278042780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Claire Bricely Clark, AGNP-C
• Steven Alan Clark, DC
• Traci D Clark, DC
• Cindy Creekmore Clayton, R.N., F.N.P.
• Clearpath Credit LLC (ClearPath Private Transportation Services)
• CNC / Access Inc.
• CNC / Access Inc.
• CNC / Access, Inc. (ResCare HomeCare)
• CNC / Access, Inc. (All Ways Caring HomeCare)
• CNC Access Inc

• Family Medicine Physician in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.