Daniel S Terryberry, M.D.
Individual provider Active NPI Family Medicine Physician · Elizabeth City, NC
NPI 1962497230 · NPPES record last updated Dec 9, 2008
Key facts
- NPI
- 1962497230
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35532 (NC)
- Practice address
- 1141 N Road St
Suite G
Elizabeth City, NC 27909-3354 - Phone
- (252) 335-5424
- Fax
- (252) 334-1501
- NPI assigned
- Sep 13, 2005
- Reactivated
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050916000894 | NC | Practitioner - Internal Medicine |
4587694922 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albemarle Family Practice PLLC | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35532 | NC | Yes |
Addresses
Primary practice location
1141 N Road St
Suite G
Elizabeth City, NC 27909-3354
Mailing address
1141 N Road St
Suite G
Elizabeth City, NC 27909-3354
Phone (252) 335-5424
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82438 | Other | NC | BC/BS OF NC PROV # |
| 89-82438 | Medicaid | NC | |
| 272562 | Other | NY | MAMSI / ALLIANCE PROV # |
Other providers in Elizabeth City, NC
- Cheryl L. Tate
- Tates Health Care & Behavioral Health Services, PLLC
- Arnette Olivia Tates
- Gregory G Taylor
- Tees Company
- The Brooks Senior Living LLC
- The Cpap Store
- The Learning Palace
- The Pampering Sitters Services
- The Power of U
All providers in Elizabeth City, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.