EASTERN NORTH CAROLINA MEDICAL GROUP, PLLC - NPI 1154599850

Q: What is Eastern North Carolina Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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About Eastern North Carolina Medical Group, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTERN NORTH CAROLINA MEDICAL GROUP, PLLC (NPI 1154599850) is a healthcare organization registered as an internal medicine in Rocky Mount, North Carolina and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists Denise H Bailey, Manager, as its authorized official.

NPPES Registry Identity

NPI1154599850

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameEASTERN NORTH CAROLINA MEDICAL GROUP, PLLC

Location Address3400 N WESLEYAN BLVDRocky Mount, NC 27804-8699

Mailing AddressPo Box 7867Rocky Mount, NC 27804-0867 · (252) 451-2700 · Fax (252) 451-2702

Phone(252) 985-5187

Fax(252) 451-2702

Organization SubpartNo

Authorized OfficialDenise H BaileyManager · (252) 451-2700

Enumeration DateFebruary 15, 2008

Last NPPES UpdateApril 4, 2012

✔ NPI 1154599850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3400 N WESLEYAN BLVD, Rocky Mount, NC 27804

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Other Identifiers 2

Medicare PIN2344492NC

Medicaid89011C5NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0973053

Eastern North Carolina Medical Group Rocky Mount · Rocky Mount, NC

Active · expires Sep 30, 2026

CLIA Number34D0973053

Laboratory TypePhysician Office

Certificate Effective DateOctober 1, 2024

Certificate Expiration DateSeptember 30, 2026

Laboratory DirectorDr. Kevin Nayabera

Laboratory Phone(252) 451-2700

Laboratory LocationEastern North Carolina Medical Group Rocky Mount250 Nash Medical Arts Mall Suite D, Rocky Mount, NC 27804

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSHUA LONG ATC, LAT

Specialist/Technologist (Athletic Trainer)