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AHOSKIE MEDICAL PRACTICE, INC
NPI 1710529128
Nurse Practitioner - Family in Ahoskie, NC

Active since October 17, 2019CLIA 34D2242906 · Waiver
703 CATHERINE CREEK RD S, AHOSKIE, NC 27910(252) 209-0088(252) 209-0088 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ahoskie Medical Practice, Inc NPPES

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

AHOSKIE MEDICAL PRACTICE, INC (NPI 1710529128) is a healthcare organization registered as a family in Ahoskie, North Carolina and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through November 14, 2027 and lists Penny Lynn Brown, Owner/ Mid-level Provider, as its authorized official.

NPPES Registry Identity

NPI1710529128
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameAHOSKIE MEDICAL PRACTICE, INC
Location Address703 CATHERINE CREEK RD SAhoskie, NC 27910-3905
Mailing Address114 Brown RdColerain, NC 27924-9412 · (252) 209-0088 · Fax (202) 209-9024
Phone(252) 209-0088
Fax(252) 209-0088
Organization SubpartNo
Authorized OfficialPenny Lynn BrownOwner/ Mid-level Provider · (252) 209-0088
Enumeration DateOctober 17, 2019
✔ NPI 1710529128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
703 CATHERINE CREEK RD S, Ahoskie, NC 27910
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ahoskie Medical Practice, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ahoskie Medical Practice, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Penny Brown, NP
Nurse Practitioner
NPI 1245216449
703 CATHERINE CREEK RD S
Ahoskie, NC 27910
(252) 209-0088
✔ PECOS✔ Accepts MedicareSame address

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 34D2242906

Ahoskie Medical Practice Inc · Ahoskie, NC
Active · expires Nov 14, 2027
CLIA Number34D2242906
Laboratory TypePractitioner Other
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorPenny L. Brown
Laboratory Phone(252) 209-0088
Laboratory LocationAhoskie Medical Practice Inc703 Catherine Creek Rd South, Ahoskie, NC 27910
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 Ahoskie Medical Practice, Inc's NPI number?

The NPI number for Ahoskie Medical Practice, Inc is 1710529128. It was assigned to this organization in the NPPES registry on October 17, 2019.

Where is Ahoskie Medical Practice, Inc located?

Ahoskie Medical Practice, Inc is located at 703 Catherine Creek Rd S, Ahoskie, NC 27910. The listed phone number is (252) 209-0088.

What is Ahoskie Medical Practice, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ahoskie Medical Practice, Inc enrolled in Medicare?

Yes. Ahoskie Medical Practice, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ahoskie Medical Practice, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ahoskie Medical Practice, Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ahoskie Medical Practice, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2242906) is associated with this NPI, valid through November 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ahoskie Medical Practice, Inc was last updated on October 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.