Joseph Ray Warren Jr., PA
Individual provider Active NPI Medical Physician Assistant · Fremont, NC
NPI 1992804587 · NPPES record last updated Nov 25, 2013
Key facts
- NPI
- 1992804587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 001000431 (NC)
- Practice address
- 109 S Sycamore St
Fremont, NC 27830-8710 - Phone
- (919) 242-4382
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Goshen Medical Center Incorporated
Practice addresses (Care Compare)
109 S Sycamore St
Fremont, NC 27830-8710
Phone (919) 242-4382
444 SW Ctr St
Faison, NC 28341-8820
Phone (910) 267-0421
460 SW Ctr St
Faison, NC 28341-8820
Phone (910) 267-0951
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070807000585 | NC | Practitioner - Physician Assistant | 4486745395 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001000431 | NC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Goshen Medical Center Incorporated | Current |
Accepting new patients | |
| Goshen Medical Center, Inc | Current |
Accepting new patients | |
| Scotland Neck Family Medical Center, Inc. | Past | Accepting new patients | |
| Goshen Medical Center, Inc. | Past | Accepting new patients |
Locations
444 SW Center St
Faison, NC 28341
Phone (910) 267-0421
109 S Sycamore St
Fremont, NC 27830
Phone (919) 242-4382
Interoperability endpoints
- jwarren@goshenmedical.cloudcraftdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 001000431 | NC | Yes |
Addresses
Primary practice location
109 S Sycamore St
Fremont, NC 27830-8710
Mailing address
715 Antioch Church Rd
Zebulon, NC 27597-7177
Phone (919) 345-3692
Other providers in Fremont, NC
- J S Stewart and Sons Inc
- Jesse a Blackman, MD, PA
- Donna Lamm Phillips
- Tatum Hardison Counseling, PLLC
- Ginny Melissa Teachey
All providers in Fremont, NC · Medical Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.