Active NPI
Carolinaeast Medical Center
- Cardiovascular Specialist/Technologist
- New Bern, NC
National Provider Identifier
1962448027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Specialist/Technologist
- License
- H0201
- Legal business name
- CAROLINAEAST MEDICAL CENTER
- Practice address
- 2000 Neuse Blvd
New Bern, NC 28560-3449 - Phone
- (252) 633-8640
- Fax
- (252) 636-5376
- NPI assigned
- Jun 20, 2006
- Last updated
- Oct 24, 2025
- 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
- Mrs. Tammy M Sherron
- Title
- Cfo/ VP Finance
- Phone
- (252) 633-8880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Specialist/Technologist | 246X00000X | H0201 | NC | Primary |
Addresses
Primary practice location
2000 Neuse Blvd
New Bern, NC 28560-3449
Mailing address
2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 633-8640
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8907654 | Medicaid | NC | |
| 07654 | Other | NC | BCBS EKG GROUP BILLING # |
Other names 1
- Craven Regional Medical Authority
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040311000538 | NC | Part B Supplier - Clinic/Group Practice | 1557272564 |
Receives reassigned benefits from 92 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New Bern, NC |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba CarolinaEast Primary Care
- Primary Care Clinic/Center
- Vanceboro, NC
- NPI 1164476834
O20040311000538
-
- Certified Registered Nurse Anesthetist
- New Bern, NC
- NPI 1710923875
O20040311000538
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761264000000",
"number": "1962448027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 NEUSE BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285603449",
"telephone_number": "252-633-8640",
"fax_number": "252-636-5376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 NEUSE BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285603449",
"telephone_number": "252-633-8640",
"fax_number": "252-636-5376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINAEAST MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-20",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A",
"authorized_official_last_name": "SHERRON",
"authorized_official_first_name": "TAMMY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CFO/ VP FINANCE",
"authorized_official_telephone_number": "252-633-8880",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "246X00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist Cardiovascular",
"state": "NC",
"license": "H0201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8907654",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS EKG GROUP BILLING #",
"identifier": "07654",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Craven Regional Medical Authority",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.