Active NPI
Nova Family Practice
- Family Medicine Physician
- Morehead City, NC
National Provider Identifier
1962872069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 213209
- 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
- Last updated
- Feb 22, 2016
- 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
- Mr. David Donnelly
- Title
- Manager
- Phone
- (252) 672-0095
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 213209 | NC | Primary |
Addresses
Primary practice location
4252 Arendell St Ste a
Morehead City, NC 28557-0015
Mailing address
1813 S Glenburnie Rd
New Bern, NC 28562-5210
Phone (252) 672-0095
National Provider Directory
National Provider DirectoryPractitioners & 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.
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- New Bern, NC
- NPI 1821059775
NPI Registry JSON
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": []
}
Other providers in Morehead City, NC
Sources for this page
- 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.