Active NPI
Pamlico Internal Medicine Associates Inc
- Internal Medicine Physician
- Washington, NC
National Provider Identifier
1912949439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PAMLICO INTERNAL MEDICINE ASSOCIATES INC
- Practice address
- 1314 Highland Dr
Washington, NC 27889 - Phone
- (252) 948-0101
- Fax
- (252) 974-5464
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas W Nicholson, MD
- Title
- President
- Phone
- (252) 946-2101
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| General Practice Physician | 208D00000X |
Addresses
Primary practice location
1314 Highland Dr
Washington, NC 27889
Mailing address
1314 Highland Dr
Washington, NC 27889
Phone (252) 948-0101
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CC9429 | Other | GA | MEDICARE RAILROAD |
| 8902363 | Medicaid | NC | |
| 019GY | Other | NC | BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199232000000",
"number": "1912949439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 HIGHLAND DR",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "27889",
"telephone_number": "252-948-0101",
"fax_number": "252-974-5464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 HIGHLAND DR",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "27889",
"telephone_number": "252-948-0101",
"fax_number": "252-974-5464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAMLICO INTERNAL MEDICINE ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2008-01-02",
"status": "A",
"authorized_official_last_name": "NICHOLSON",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "252-946-2101",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "CC9429",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8902363",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "019GY",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.