Individual provider Active NPI

Raymond William Meyers

  • Nurse Practitioner
  • Winterville, NC
National Provider Identifier
1861003709
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5013431 Issued in NC
Practice address
1604 Pelham Rd
Winterville, NC 28590-9131
Phone
(850) 291-1281
NPI assigned
Aug 13, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5013431 NC Primary

Addresses

Primary practice location

1604 Pelham Rd
Winterville, NC 28590-9131

Mailing address

1604 Pelham Rd
Winterville, NC 28590-9131
Phone (850) 291-1281

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201218001757 NC Practitioner - Nurse Practitioner 6103238944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Williamston Clinic Corp Nurse Practitioner CurrentSince Sep 12, 2020 Accepting new patients
Vidant Medical Group LLC CurrentSince Dec 20, 2022 Accepting new patients

Locations

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

628 E 12th St
Washington, NC 27889
Phone (252) 975-4100

104 Medical Dr
Williamston, NC 27892
Phone (252) 809-6300

310 S McCaskey Rd
Williamston, NC 27892
Phone (252) 809-6133

Interoperability endpoints

  • Direct secure messaging: meyersrw@yourcarecommunity.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1861003709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 PELHAM RD",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909131",
            "telephone_number": "850-291-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 PELHAM RD",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909131",
            "telephone_number": "850-291-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "RAYMOND",
        "middle_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5013431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterville, NC

Sources for this page

Verify at the official NPI Registry.