Individual provider Active NPI

Raymond L Thomas, MD

  • Family Medicine Physician
  • Cape Carteret, NC
National Provider Identifier
1891789962
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25962 Issued in NC
Practice address
906 WB McLean Blvd
Cape Carteret, NC 28584-9211
Phone
(252) 393-9007
Fax
(252) 393-9921
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25962 NC Primary

Addresses

Primary practice location

906 WB McLean Blvd
Cape Carteret, NC 28584-9211

Mailing address

PO Box 896206
Charlotte, NC 28289-6206
Phone (252) 633-1010

Other identifiers 3

IdentifierTypeStateIssuer
89136C5MedicaidNC
2024091AOtherNCMEDICARE PTAN
136C5OtherNCBLUE CROSS

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
I20040331000391 NC Practitioner - Family Practice 7911999065 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25962NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinaeast Physicians CurrentSince Jan 1, 2011 Accepting new patients
Carolinaeast Physicians CurrentSince Jan 1, 2011 Accepting new patients
Carolinaeast Physicians Family Medicine Current Accepting new patients

Locations

906 Wb McLean Blvd
Cape Carteret, NC 28584
Phone (252) 393-9007

532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088

137 Medical Ln
Pollocksville, NC 28573
Phone (252) 633-1010

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1891789962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896206",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896206",
            "telephone_number": "252-633-1010",
            "fax_number": "252-224-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 WB MCLEAN BLVD",
            "city": "CAPE CARTERET",
            "state": "NC",
            "postal_code": "285849211",
            "telephone_number": "252-393-9007",
            "fax_number": "252-393-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "RAYMOND",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "25962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89136C5",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2024091A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "136C5",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Carteret, NC

Sources for this page

Verify at the official NPI Registry.