Chris a. Pate MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

32555 Issued in NC

Legal business name

CHRIS A. PATE MD PA

Practice address

2280 US Highway 70 W
Goldsboro, NC 27530-9546

Phone

(919) 735-1400

Fax

(919) 581-0353

NPI assigned

May 11, 2006

Last updated

Aug 20, 2008By 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

Trent O Shelton

Title

Billing

Phone

(919) 544-6318

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1851341937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2831",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277152831",
            "telephone_number": "919-544-6318",
            "fax_number": "919-544-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 US HIGHWAY 70 W",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275309546",
            "telephone_number": "919-735-1400",
            "fax_number": "919-581-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS A. PATE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "919-544-6318"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "32555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST GROUP",
            "identifier": "788533",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-NC GROUP",
            "identifier": "013YP",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89013YP",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.