West Columbus Family Practice, P.a.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

WEST COLUMBUS FAMILY PRACTICE, P.A.

Practice address

110 N Brown St
Chadbourn, NC 28431-1716

Phone

(910) 654-1701

Fax

(910) 654-5701

NPI assigned

Sep 20, 2006

Last updated

Oct 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Joyce Beaver, RN

Title

Ceo Owner

Phone

(910) 654-1701

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1982701215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N BROWN ST",
            "city": "CHADBOURN",
            "state": "NC",
            "postal_code": "284311716",
            "telephone_number": "910-654-1701",
            "fax_number": "910-654-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N BROWN ST",
            "city": "CHADBOURN",
            "state": "NC",
            "postal_code": "284311716",
            "telephone_number": "910-654-1701",
            "fax_number": "910-654-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COLUMBUS FAMILY PRACTICE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "BEAVER",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "910-654-1701",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344634C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344634A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Total Renal Care of North Carolina LLC (Chadbourn Dialysis Center)
• Unc Hospitals
• United Home Care Agency, Inc.
• Jennifer Paige Ward
• West Columbus Family Practice PA

• Family Nurse Practitioner in Chadbourn, NC
• Providers in Chadbourn, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.