NPIMap

Individual provider Active NPI

Ann C. Sumners, M. D.

  • Family Medicine Physician
  • Manteo, NC
National Provider Identifier
1922180504
Registry record updated Nov 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200400981 Issued in NC
Practice address
604 Amanda St
Manteo, NC 27954-9039
Phone
(252) 473-3478
Fax
(252) 473-3600
NPI assigned
Oct 20, 2006
Last updated
Nov 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200400981 NC Primary

Addresses

Primary practice location

604 Amanda St
Manteo, NC 27954-9039

Mailing address

PO Box 1045
Manteo, NC 27954-1045
Phone (252) 473-3478

Other identifiers 1

IdentifierTypeStateIssuer
5902933MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050524000307 NC Practitioner - Family Practice 5496797136 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Brody School of Medicine at East Carolina University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

2518 S Croatan Hwy
Unit B
Nags Head, NC 27959
Phone (252) 449-7373

4810 S Croatan Hwy
Suite 250
Nags Head, NC 27959
Phone (252) 449-9120

4917 S Croatan Hwy
Suite 1B
Nags Head, NC 27959
Phone (252) 255-0583

4927 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 261-0777

604 Amanda St
Manteo, NC 27954-9039
Phone (252) 473-3478

9120 Willow Ridge Rd
Charlotte, NC 28210-8313
Phone 82877452220027

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200400981NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Eldercare PA CurrentSince Dec 3, 2018 Accepting new patients
Vidant Medical Group LLC CurrentSince Nov 12, 2012 Accepting new patients
Outer Banks Professional Services, LLC Family Medicine CurrentSince Oct 4, 2015 Accepting new patients
Dare Medical Associates Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

604 Amanda St
Manteo, NC 27954
Phone (252) 473-3478

4810 S Croatan Hwy
Ste 100
Nags Head, NC 27959
Phone (252) 261-4885

4917 S Croatan Hwy
Ste 1B
Nags Head, NC 27959
Phone (252) 255-0583

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114

Interoperability endpoints

  • Direct secure messaging: asumners18729@direct.ecuhealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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 5

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258761600000",
    "number": "1922180504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1045",
            "city": "MANTEO",
            "state": "NC",
            "postal_code": "279541045",
            "telephone_number": "252-473-3478",
            "fax_number": "252-473-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 AMANDA ST",
            "city": "MANTEO",
            "state": "NC",
            "postal_code": "279549039",
            "telephone_number": "252-473-3478",
            "fax_number": "252-473-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNERS",
        "first_name": "ANN",
        "middle_name": "C.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2009-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200400981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902933",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteo, NC

Sources for this page

Verify at the official NPI Registry.