Eileen Marie Quilty, NP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

600036 Issued in NC

Practice address

2645 Meridian Pkwy Ste 323
Durham, NC 27713-4232

Phone

(984) 227-8902

NPI assigned

Jan 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

T4 Medical PLLCGroup PAC ID 0244769156, 30 clinicians

Pai Participant 29 PCGroup PAC ID 6002216215, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: equilty@landmarkhealth-direct.org
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Pai Participant 29, P.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Lexington, NC
  • NPI 1245813757
  Medicare reassignment Care Compare group
• T4 Medical PLLC

  • Family Medicine Physician
  • Boone, NC
  • NPI 1699546861
  Medicare reassignment Care Compare group
• Longevity Accountable Care, PA

  • Geriatric Medicine (Family Medicine) Physician
  • Salisbury, NC
  • NPI 1396584454
  Medicare reassignment NPD
• Vitae Health Medical North Carolina, PLLC

  • Internal Medicine Physician
  • Mooresville, NC
  • NPI 1265064414
  Medicare reassignment NPD
• Longevity Clinical LTC Associates of North Carolina PLLC

  • Primary Care Nurse Practitioner
  • Salisbury, NC
  • NPI 1154907855
  Medicare reassignment
• Grover Clinic P.C.

  • Non-Pharmacy Dispensing Site
  • Charlotte, NC
  • NPI 1457626004
  NPD (past)
• Grover Clinic PC

  • Health Service Clinic/Center
  • Charlotte, NC
  • NPI 1104847383
  NPD (past)
• Physicians Eldercare PA

  • General Practice Physician
  • Durham, NC
  • NPI 1023083268
  NPD (past)
• Concerto Services, Inc.

  • Adult Health Nurse Practitioner
  • Irvine, CA
  • NPI 1043469273
  NPD (past)

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1891773008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 FELD FARM LN STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108484",
            "telephone_number": "704-541-0925",
            "fax_number": "704-541-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 MERIDIAN PKWY STE 323",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134232",
            "telephone_number": "984-227-8902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10320 Feld Farm Ln",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108483",
            "country_code": "US",
            "telephone_number": "704-541-0925",
            "fax_number": "704-541-0924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUILTY",
        "first_name": "EILEEN",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "0006-00036",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "600036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah E Queen, CRNA
• Theodore Lawson Queen Jr.
• Queenlee Enterprises LLC
• Virginia Quellmalz-Zallocco, COTA/L
• John Doward Quick III
• Nathaniel Quinley, PA-C
• Javaris Quinn, LCWSA
• Laura Thompson Quinn, M.A.
• Tara E Quinn, RD
• Hayley Nan Quinones

• Family Medicine Physician in Durham, NC
• Providers in Durham, 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 May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.