NPIMap

Organization Active NPI

Columbus Regional Health Network

Doing business as Southeast Urology

  • Urology Physician
  • Ocean Isle Beach, NC
National Provider Identifier
1932439593
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
COLUMBUS REGIONAL HEALTH NETWORK
Doing business as
Southeast Urology
Practice address
25 Union School Rd NW
Ocean Isle Beach, NC 28469-7307
Phone
(910) 579-0919
NPI assigned
Jan 5, 2010
Last updated
Feb 21, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
COLUMBUS REGIONAL HEALTH NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Authorized official

Name
Marvin Armstrong
Title
Cfo
Phone
(704) 355-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X Primary

Addresses

Primary practice location

25 Union School Rd NW
Ocean Isle Beach, NC 28469-7307

Mailing address

PO Box 19350
Charlotte, NC 28219-9305
Phone (704) 631-0002

Other names 1

  • Southeast Urology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090424000511 NC Part B Supplier - Clinic/Group Practice 6608924931 Receives reassigned benefits from 248 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tabor City, NC; Wadesboro, NC; Whiteville, NC; Wilmington, NC; Monroe, NC; Shelby, NC; Albemarle, NC; Charlotte, NC…

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Christy T Perdue MD PA

Locations

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1932439593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19350",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305",
            "telephone_number": "704-631-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 UNION SCHOOL RD NW",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "284697307",
            "telephone_number": "910-579-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS REGIONAL HEALTH NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBUS REGIONAL HEALTH NETWORK",
        "enumeration_date": "2010-01-05",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "704-355-2000"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Urology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southeast Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocean Isle Beach, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.