Individual provider Active NPI

Eric Michael Rutland, PA

  • Physician Assistant
  • Kinston, NC
National Provider Identifier
1972249134
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-12181 Issued in NC
Practice address
100 Airport Rd
Kinston, NC 28501-1604
Phone
(252) 522-7000
NPI assigned
May 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-12181 NC Primary

Addresses

Primary practice location

100 Airport Rd
Kinston, NC 28501-1604

Mailing address

3000 Aerial Center Pkwy Ste 130
Morrisville, NC 27560-0077
Phone (919) 461-7131

Other practice location 1

1059 Beaver Creek Commons Dr Unit 230
Apex, NC 27502-3918
Phone (984) 960-1300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erutland874848@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220621002321 NC Practitioner - Physician Assistant 3274912308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5221 Paramount Pkwy
Suite 420
Morrisville, NC 27560-4704

5665 New Northside Dr
Atlanta, GA 30328-5834

Hospital & facility affiliations

  • Rex Hospital Hospital, Raleigh, NC, CCN 340114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rex Hospital Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1972249134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 AERIAL CENTER PKWY STE 130",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275600077",
            "telephone_number": "919-461-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AIRPORT RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011604",
            "telephone_number": "252-522-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1059 Beaver Creek Commons Dr Unit 230",
            "address_purpose": "LOCATION",
            "city": "Apex",
            "state": "NC",
            "postal_code": "275023918",
            "country_code": "US",
            "telephone_number": "984-960-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTLAND",
        "first_name": "ERIC",
        "middle_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-10",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erutland874848@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1059 Beaver Creek Commons Dr Unit 230",
            "city": "Apex",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275023918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

Verify at the official NPI Registry.