Individual provider Active NPI

Patrick J. Esposito, MD

  • Family Medicine Physician
  • Forest City, NC
National Provider Identifier
1922078823
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13422 Issued in SC
Practice address
281 E Main St
Forest City, NC 28043-3126
Phone
(828) 245-6400
Fax
(828) 245-3838
NPI assigned
Jan 24, 2006
Last updated
Dec 28, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32357 NC
Family Medicine Physician 207Q00000X 13422 SC Primary

Addresses

Primary practice location

281 E Main St
Forest City, NC 28043-3126

Mailing address

PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304

Other practice location 1

12230 Asheville Hwy
Inman, SC 29349-1845
Phone (864) 472-2144

Other identifiers 5

IdentifierTypeStateIssuer
72799OtherSCMEDCOST
NN0192A2342423AOtherSCMEDICARE PIN
5002079OtherSCAETNA
B913555213OtherSCMEDICARE PIN
134223MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20100302000490 SC Practitioner - Family Practice 9234274234 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13422SCMDPharmacist
32357NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Family Medicine Current Accepting new patients
Spartanburg Medical Center Family Medicine CurrentSince Jan 1, 1996 Accepting new patients
Wallace Thomson Hospital Past Accepting new patients

Locations

281 E Main St
Forest City, NC 28043
Phone (828) 245-6400

12230 Asheville Hwy
Inman, SC 29349
Phone (864) 472-2144

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

2995 Reidville Rd
Ste 210
Spartanburg, SC 29301
Phone (864) 587-1962

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1922078823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743070",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743070",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 E MAIN ST",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280433126",
            "telephone_number": "828-245-6400",
            "fax_number": "828-245-3838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12230 Asheville Hwy",
            "address_purpose": "LOCATION",
            "city": "Inman",
            "state": "SC",
            "postal_code": "293491845",
            "country_code": "US",
            "telephone_number": "864-472-2144",
            "fax_number": "864-472-4696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPOSITO",
        "first_name": "PATRICK",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "32357",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "13422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "72799",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "NN0192A2342423A",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5002079",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "B913555213",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134223",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, NC

Sources for this page

Verify at the official NPI Registry.