Individual provider Active NPI

Shernika Cobbs

  • Nurse Practitioner
  • Whiteville, NC
National Provider Identifier
1912617762
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5017223 Issued in NC
Practice address
800 Jefferson St Ste 107
Whiteville, NC 28472-3702
Phone
(910) 642-9888
Fax
(910) 642-6635
NPI assigned
Dec 2, 2022
Last updated
Dec 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5017223 NC Primary

Addresses

Primary practice location

800 Jefferson St Ste 107
Whiteville, NC 28472-3702

Mailing address

800 Jefferson St Ste 107
Whiteville, NC 28472-3702
Phone (910) 642-9888

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230210001012 NC Practitioner - Nurse Practitioner 7012389455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Nephrology Associates PLLCGroup PAC ID 2264420512, 75 clinicians

Practice addresses (Care Compare)

800 Jefferson St
Suite 107
Whiteville, NC 28472-3702
Phone (910) 642-9888

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Nephrology Associates, PLLC CurrentSince Dec 6, 2022 Accepting new patients
Eastern Nephrology Associates PLLC CurrentSince Jan 3, 2023 Accepting new patients

Locations

511 Paladin Dr
Greenville, NC 27834
Phone (252) 317-2280

800 Jefferson St
Ste 107
Whiteville, NC 28472
Phone (910) 642-9888

Interoperability endpoints

  • Direct secure messaging: scobbs1125878@direct.novanthealth.org
  • Direct secure messaging: scobbs47728@direct.acumenmd.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1912617762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 JEFFERSON ST STE 107",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723702",
            "telephone_number": "910-642-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 JEFFERSON ST STE 107",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723702",
            "telephone_number": "910-642-9888",
            "fax_number": "910-642-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBBS",
        "first_name": "SHERNIKA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5017223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

Verify at the official NPI Registry.