Organization Active NPI

Cro PC, PLLC

Doing business as Croatan Primary Care

  • Family Medicine Physician
  • Jacksonville, NC
National Provider Identifier
1912024217
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CRO PC, PLLC
Doing business as
Croatan Primary Care
Practice address
308 Dolphin Dr
Jacksonville, NC 28546-5266
Phone
(910) 346-2273
Fax
(910) 346-1907
NPI assigned
Mar 23, 2007
Last updated
Apr 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Mrs. Chrissy Rice
Title
Office Manager
Phone
(910) 346-2273

Specialties & licenses 1

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

Addresses

Primary practice location

308 Dolphin Dr
Jacksonville, NC 28546-5266

Mailing address

308 Dolphin Dr
Jacksonville, NC 28546-5266
Phone (910) 346-2273

Other names 1

  • CROATAN PRIMARY CARE Doing business as

National Provider Directory

National Provider Directory

Locations

308 Dolphin Dr
Jacksonville, NC 28546
Phone (910) 346-2273

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1912024217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 DOLPHIN DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465266",
            "telephone_number": "910-346-2273",
            "fax_number": "910-346-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 DOLPHIN DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465266",
            "telephone_number": "910-346-2273",
            "fax_number": "910-346-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRO PC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "CHRISSY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-346-2273",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROATAN PRIMARY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.