Individual provider Active NPI

Jean Basnight, DO

  • Family Medicine Physician
  • Havelock, NC
National Provider Identifier
1891783056
Registry record updated Jun 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200701959 Issued in NC
Practice address
1224 E Main St
Havelock, NC 28532
Phone
(252) 447-7474
NPI assigned
Oct 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 2007-01959 NC
Family Medicine Physician 207Q00000X 200701959 NC Primary

Addresses

Primary practice location

1224 E Main St
Havelock, NC 28532

Mailing address

110 Staffordshire Drive
New Bern, NC 28562-8441

Other practice location 1

806 Bell Fork Rd
Jacksonville, NC 28540-6312
Phone (910) 347-2205

Other identifiers 2

IdentifierTypeStateIssuer
139638419MedicaidTX
8P5517OtherTXBCBS PROV. NO.

Other names 1

  • Jean Tschuschke Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080730000761 NC Practitioner - Family PracticePractitioner - Emergency Medicine 7810957792 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200701959NCMDFamily Medicine Physician
2007-01959NCMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nags Head Treatment Center LLC CurrentSince Jan 31, 2020 Accepting new patients
Kinston Physicians Group, PLLC CurrentSince Feb 15, 2013 Accepting new patients
Morehead City Treatment Center, LLC CurrentSince Jan 31, 2020 Accepting new patients
Jacksonville Treatment Center CurrentSince Mar 2, 2023 Accepting new patients
Ghep Corpus Christi PLLC Past Accepting new patients

Locations

291 Huff Dr
Jacksonville, NC 28546
Phone (910) 343-0119

100 Airport Rd
Kinston, NC 28501
Phone (252) 522-7000

309 Commerce Ave
Morehead City, NC 28557
Phone (252) 773-0306

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 5

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530316800000",
    "number": "1891783056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 STAFFORDSHIRE DRIVE",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285628441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 E MAIN ST",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "28532",
            "telephone_number": "252-447-7474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "806 Bell Fork Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285406312",
            "country_code": "US",
            "telephone_number": "910-347-2205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASNIGHT",
        "first_name": "JEAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2018-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NC",
            "license": "2007-01959",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200701959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139638419",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV. NO.",
            "identifier": "8P5517",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "TSCHUSCHKE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Havelock, NC

Sources for this page

Verify at the official NPI Registry.