Johnny Lee Farrow, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9401185 Issued in NC

Practice address

715 US Highway 64
Manteo, NC 27954-9241

Phone

(252) 473-2500

Fax

(252) 473-1222

NPI assigned

Jan 29, 2007

Last updated

May 8, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Surf Pediatrics and Medicine PC

  • Pediatrics Physician
  • Kitty Hawk, NC
  • NPI 1609058056
  Medicare reassignment NPD
• Albemarle Physician Services - Sentara, Inc

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1942443130

  NC

  Medicare reassignment NPD
• Albemarle Physician Services - Sentara, Inc

  dba Sentara Urgent Care

  • Urgent Care Clinic/Center
  • Kitty Hawk, NC
  • NPI 1306202627
  NPD
• Albemarle Physician Services- Sentara, Inc.

  dba Sentara Critical Care Specialists

  • Critical Care Medicine (Anesthesiology) Physician
  • Elizabeth City, NC
  • NPI 1851660260
  NPD
• Island Medical Center

  • Nurse Practitioner
  • Manteo, NC
  • NPI 1821135773

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1891831038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 US HIGHWAY 64",
            "city": "MANTEO",
            "state": "NC",
            "postal_code": "279549241",
            "telephone_number": "252-473-2500",
            "fax_number": "252-473-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 US HIGHWAY 64",
            "city": "MANTEO",
            "state": "NC",
            "postal_code": "279549241",
            "telephone_number": "252-473-2500",
            "fax_number": "252-473-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARROW",
        "first_name": "JOHNNY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9401185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8931316",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD",
            "identifier": "9401185",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dare County Administrative Offices (Dare County Department of Public Health)
• Dare Medical & Cardiovascular Associates
• Dare Medical Associates
• Latesha Drake
• Elizabeth C. Gamiel (KEG Therapies, PLLC)
• Finding Shalom Counseling
• Nicholas Lewis Frank, CRNA
• Heather Anne Freeland, CRNP
• Elizabeth Cloninger Gamiel, M.ED., CCC-SLP
• Jeri Denise Griggs, NP

• Family Medicine Physician in Manteo, NC
• Providers in Manteo, 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 8, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.