EASTERN NORTH CAROLINA MEDICAL GROUP, PLLC
NPI 1225367253
Internal Medicine - Pulmonary Disease in Wilson, NC
NPI Status: Active since December 22, 2009
Contact Information
1812 GLENDALE DR SW
SUITE B
WILSON, NC
ZIP 27893
Phone: (252) 291-3100
Fax: (252) 243-0599
- Organization
- Internal Medicine
- Pulmonary Disease
- CLIA Number: 34D0973053
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-30-2026
About EASTERN NORTH CAROLINA MEDICAL GROUP, PLLC
This page provides the complete NPI Profile along with additional information for Eastern North Carolina Medical Group, Pllc, an internist established in Wilson, North Carolina operating as a Internal Medicine, focusing in pulmonary disease . The healthcare provider is registered in the NPI registry with number 1225367253 assigned on December 2009. The practitioner's primary taxonomy code is 207RP1001X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Eastern North Carolina Medical Group, Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Denise H Bailey (Manager)
- NPI
- 1225367253
- Provider Name
- EASTERN NORTH CAROLINA MEDICAL GROUP, PLLC
- Entity Type
- Organization
- Location Address
- 1812 GLENDALE DR SW SUITE B WILSON, NC 27893
- Location Phone
- (252) 291-3100
- Location Fax
- (252) 243-0599
- Mailing Address
- PO BOX 7867 ROCKY MOUNT, NC 27804
- Mailing Phone
- (252) 451-2700
- Mailing Fax
- (252) 243-0599
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-22-2009
- Last Update Date
- 04-04-2012
- Code Navigator
An internist like Eastern North Carolina Medical Group, Pllc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Pulmonary Disease
- Taxonomy Code
- 207RP1001X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207RC0200X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207RH0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 6 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 7 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 011C5 | OTHER (01) | NC | BCBS GROUP ID# |
| 2344492 | MEDICARE PIN (08) | NC | |
| 89011C5 | MEDICAID (05) | NC | |
| 4059730001 | MEDICARE NSC (07) | NC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D0973053
- Facility Type
- Physician Office
- Certificate Effective Date
- October 01, 2024
- Certificate Expiration Date
- September 30, 2026
- Laboratory Director
- JOHN PUTHENVEETIL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Eastern North Carolina Medical Group, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for EASTERN NORTH CAROLINA MEDICAL GROUP, PLLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 2 | 5 | 3 | 6 | 7 | 2 | 5 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 4 | 5 | 6 | 6 | 14 | 2 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 4 + 5 + 6 + 6 + 1 + 4 + 2 + 1 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1225367253 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1750539318 | ANDREA HUBBARD BARFIELD PA-C Individual | Physician Assistant (Medical) | 1812 GLENDALE DR SW SUITE B WILSON, NC 27893 (252) 291-3100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225367253, enumerated in the NPI registry as an "organization" on December 22, 2009
The provider is located at 1812 Glendale Dr Sw Suite B Wilson, Nc 27893 and the phone number is (252) 291-3100
This medical organization specializes in Internal Medicine with taxonomy code 207RP1001X with a focus in Pulmonary Disease
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 34D0973053 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on December 22, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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