Individual provider Active NPI

Sari George Eapen, M.D.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Roanoke Rapids, NC
National Provider Identifier
1881693778
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
26226 Issued in NC
Practice address
257 Hwy 125
Roanoke Valley Pain Center
Roanoke Rapids, NC 27870-2935
Phone
(252) 410-0001
Fax
(252) 410-0003
NPI assigned
Jul 21, 2005
Last updated
Mar 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 26226 NC Primary

Addresses

Primary practice location

257 Hwy 125
Roanoke Valley Pain Center
Roanoke Rapids, NC 27870-2935

Mailing address

257Hwy125
Roanoke Valley Pain Center
Roanoke Rapids, NC 27870-2935
Phone (252) 410-0001

Other identifiers 2

IdentifierTypeStateIssuer
P00378382OtherRAILROAD MEDICARE
5900284MedicaidNC

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
American Arthritis & Rheumatology Associates VA LLC PastSince Sep 15, 2018 Accepting new patients
Sari Eapen Neuromusculoskeletal Medicine, Sports Medicine PastSince Jan 1, 1990 Accepting new patients
Halifax Anesthesia and Pain Clinic, PC Past Accepting new patients

Organizations & group practices 3

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1881693778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257HWY125",
            "address_2": "ROANOKE VALLEY PAIN CENTER",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278702935",
            "telephone_number": "252-410-0001",
            "fax_number": "252-410-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 HWY 125",
            "address_2": "ROANOKE VALLEY PAIN CENTER",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278702935",
            "telephone_number": "252-410-0001",
            "fax_number": "252-410-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAPEN",
        "first_name": "SARI",
        "middle_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NC",
            "license": "26226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00378382",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900284",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.