NORTH CAROLINA EYE EAR NOSE & THROAT PA
NPI 1861583700
Otolaryngology in Roxboro, NC

Active since September 27, 2006
911 RIDGE RD STE A, ROXBORO, NC 27573(336) 597-2826(336) 597-2626 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

  • Organization
  • Otolaryngology
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About NORTH CAROLINA EYE EAR NOSE & THROAT PA

This page provides the complete NPI Profile along with additional information for North Carolina Eye Ear Nose & Throat Pa, a provider established in Roxboro, North Carolina operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1861583700 assigned on September 2006. The practitioner's primary taxonomy code is 207Y00000X. The provider is registered as an organization and their NPI record was last updated one year ago. North Carolina Eye Ear Nose & Throat Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jennifer L Whitehead (Credentialing Coordinator)

NPI
1861583700 Verify this NPI
Provider Name
NORTH CAROLINA EYE EAR NOSE & THROAT PA
Other Name Type
(6)
Entity Type
Organization
Location Address
911 RIDGE RD STE A ROXBORO, NC 27573
Location Phone
(336) 597-2826
Location Fax
(336) 597-2626
Mailing Address
4102 N ROXBORO ST DURHAM, NC 27704
Mailing Phone
(919) 595-2000
Mailing Fax
(919) 595-2143
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-27-2006
Last Update Date
09-11-2025
Code Navigator



North Carolina Eye Ear Nose & Throat Pa is a medicare supplier with PTAN 20321717 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Immunosuppressive Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Commodes, Urinals, Bedpans or Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order) or Heat & Cold Applications or Canes and/or Crutches or Walkers or Ostomy Supplies or Urological Supplies or Enteral Nutrients or Enteral Equipment and/or Supplies or Parenteral Nutrients or Parenteral Equipment and/or Supplies or Nebulizer Equipment and/or Supplies or Surgical Dressings.

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

Otolaryngology

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

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)
1207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

 

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER L WHITEHEAD

Authorized Official Title
CREDENTIALING COORDINATOR
Authorized Official Phone
(919) 595-2143

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20321717
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Enteral Nutrients - Enteral formula
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Parenteral Nutrients - Parenteral nutrient solutions
  • Parenteral Equipment and/or Supplies - Parenteral infusion pumps, parenteral nutrition supply kits
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861583700, enumerated as an "organization" on September 27, 2006.

The provider is located at 911 RIDGE RD STE A ROXBORO, NC 27573 and the phone number is (336) 597-2826.

Otolaryngology with taxonomy code 207Y00000X.