Nova Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

213209 Issued in NC

Legal business name

NOVA FAMILY PRACTICE

Practice address

4252 Arendell St Ste a
Morehead City, NC 28557-0015

Phone

(252) 222-0204

Fax

(252) 222-0433

NPI assigned

Oct 1, 2015

Organization subpart

No

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

Authorized official

Name

Mr. David Donnelly

Title

Manager

Phone

(252) 672-0095

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1962872069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 S GLENBURNIE RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625210",
            "telephone_number": "252-672-0095",
            "fax_number": "252-672-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4252 ARENDELL ST STE A",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285570015",
            "telephone_number": "252-222-0204",
            "fax_number": "252-222-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "252-672-0095",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "213209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander C NG, RPH
• Emily Layton Nobles, LCSW
• James Drew Norris
• Kelsey Norris, PA-C
• North Carolina CVS Pharmacy LLC
• Nova Urgent Care Carteret, P.a.
• Joseph F Nutz Jr., M.D.
• Shannon O'Connor, MSW, LCSW, LCAS
• Cecelia J O'Farrell, LPC,RPT
• Carey Bowman O'Reilly, R.D., L.D.N

• All providers in Morehead City, NC
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.