OPEN WATER MEDICAL, PA
NPI 1669852372
Family Medicine in Morehead City, NC
About Open Water Medical, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPEN WATER MEDICAL, PA (NPI 1669852372) is a healthcare organization registered as a family medicine in Morehead City, North Carolina and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through August 25, 2028 and lists Tisha Rae Smith, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Open Water Medical, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Open Water Medical, PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 34D1088471
Open Water Medical, PA · Morehead City, NCFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Open Water Medical, PA's NPI number?
The NPI number for Open Water Medical, PA is 1669852372. It was assigned to this organization in the NPPES registry on June 8, 2015.
Where is Open Water Medical, PA located?
Open Water Medical, PA is located at 3106 Arendell Street, Morehead City, NC 28557. The listed phone number is (252) 808-2500.
What is Open Water Medical, PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Open Water Medical, PA enrolled in Medicare?
Yes. Open Water Medical, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Open Water Medical, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Open Water Medical, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Family Practice (2). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Open Water Medical, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D1088471) is associated with this NPI, valid through August 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Open Water Medical, PA was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Open Water Medical, Pa · NPI 1669852372
Family Medicine organization in Morehead City, North Carolina. Organization record, active in the CMS NPPES registry since June 8, 2015.
## Identity
- **NPI:** 1669852372 (Entity type: Organization)
- **Enumerated:** June 8, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Tisha Smith, PRACTICE MANAGER
## Practice location
- **Address:** 3106 ARENDELL STREET, Morehead City, NC 28557-3202
- **Phone:** (252) 808-2500 · **Fax:** (252) 808-2501
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (2); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 24, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1669852372) · Data from the CMS NPPES public registry.