Southport Pulmonary Medicine, PLLC

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

Legal business name

SOUTHPORT PULMONARY MEDICINE, PLLC

Practice address

1517 N Howe St
Suite 12
Southport, NC 28461-2772

Phone

(910) 457-9684

Fax

(910) 457-4803

NPI assigned

May 19, 2009

Organization subpart

No

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

Authorized official

Name

Barton Schneyer, MCNPI 1003801309

Title

President

Phone

(910) 457-9684

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/75473

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barton L Schneyer, MD

  • Pulmonary Disease Physician
  • Southport, NC
  • NPI 1003801309

  Critical Care Medicine

  Medicare reassignment NPD Authorized official
• Melissa Holden, ACNP-BC

  • Acute Care Nurse Practitioner
  • Southport, NC
  • NPI 1750612974
  Medicare reassignment NPD
• Cheryl N Owen, FNP

  • Family Nurse Practitioner
  • Sylva, NC
  • NPI 1235224692
  Medicare reassignment NPD
• Richard R Winwood, RPA-C

  • Physician Assistant
  • Mineola, NY
  • NPI 1447425210

  NC

  Medicare reassignment
• Edward Elam Hayes, MD

  • Urology Physician
  • Dublin, GA
  • NPI 1033172648
  NPD (past)

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1982839015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 N HOWE ST",
            "address_2": "SUITE 12",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284612772",
            "telephone_number": "910-457-9684",
            "fax_number": "910-457-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 N HOWE ST",
            "address_2": "SUITE 12",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284612772",
            "telephone_number": "910-457-9684",
            "fax_number": "910-457-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPORT PULMONARY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "SCHNEYER",
        "authorized_official_first_name": "BARTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-457-9684",
        "authorized_official_credential": "MC"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South East Access Inc
• Southern Cross
• Southport Counseling Services, PLLC
• Southport Eye Care OD PLLC
• Southport Internal Medicine PA
• Southport Surgical Associates, P.a.
• Southport Urgent Care
• Southport Urgent Care PLLS
• Christine Louise Sparks, O.T.
• Brittany Killian Spears, PT, DPT

• Critical Care Medicine (Internal Medicine) Physician in Southport, NC
• Providers in Southport, NC by specialty
• Critical Care Medicine (Internal Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.