DR. JERRY EVAN COY (NPI# 1255410593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255410593 |
| Entity Type | Individual |
| Full Name | DR. JERRY EVAN COY |
| Credential | CRNA |
| Practice Address |
111 Hospital Dr Tarboro NC 27886-2011 |
| Mailing Address |
130 Devonshire Ln Wilmington NC 28409-8111 |
| Practice Telephone | 2526417170 |
| Practice Fax Number | 2526417373 |
| Mailing Telephone | 9103926902 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 106170 | NC | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 106170 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043575301 | Jerry Walter Coy | Massage Therapist | 44400 W Honeycutt Rd, Ste 101, Maricopa, AZ 85138-2944 | 2012-07-11 |
| Street Address |
111 HOSPITAL DR |
| City | TARBORO |
| State | NC |
| Zip Code | 27886-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114920162 | Jon Dubose | Internal Medicine | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2005-05-23 |
| 1346849668 | Rhonda Beal | Physical Therapist | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2020-10-19 |
| 1184222580 | Courtney Willoughby | Physical Therapist | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2020-10-16 |
| 1528682648 | Nikki Forbes | Registered Nurse | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2020-06-04 |
| 1699334847 | Kev'ann Denise Jarman | Nurse Practitioner | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2019-06-11 |
| 1932659281 | Vidant Edgecombe Hospital | General Acute Care Hospital | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2016-10-11 |
| 1639627623 | Christine Coleman | Nurse Practitioner | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2016-09-19 |
| 1598121311 | Zackry Briggs | Physician Assistant | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2016-01-08 |
| 1669870309 | April Reichmeider | Dietitian, Registered | 111 Hospital Dr, Attn: Dietary, Tarboro, NC 27886-2011 | 2014-12-11 |
| 1073938577 | Clayton Moore | Pharmacist | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2014-02-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336781566 | Fountain Transportation | Non-emergency Medical Transport (VAN) | 350 William Walston Lane, Tarboro, NC 27886 | 2019-10-09 |
| 1942737481 | Jude Ude | Pharmacist | 1519 Man Street, Tarboro, NC 27886 | 2017-05-15 |
| 1487197406 | Fms Ena Home, LLC | Clinic/Center | 122 Hospital Drive, Tarboro, NC 27886 | 2016-11-22 |
| 1295191450 | Fountain Adult Home Care, LLC | Custodial Care Facility | 303 William Walston Lane, Tarboro, NC 27886 | 2016-01-04 |
| 1033464805 | Tiffany Chapman Barber | Pharmacist | 1519 N Main Street, Tarboro, NC 27886 | 2012-07-18 |
| 1891085247 | Illumi-nation Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7806 Hwy 42 East, Tarboro, NC 27886 | 2011-04-19 |
| 1376842187 | Hiren C Patel | Pharmacist | 1600 North Main St., Tarboro, NC 27886 | 2011-03-18 |
| 1407976590 | Edgecombe Chiropractic Inc | Chiropractor | 1801 Main Street, Tarboro, NC 27886 | 2007-03-30 |
| 1265567762 | Rinson A Weathers | Personal Emergency Response Attendant | 111 Hospital Drive, Tarboro, NC 27886 | 2007-02-23 |
| 1780758961 | George Thomas Ward | Dentist | 112 W St John Street, Tarboro, NC 27886 | 2006-11-20 |
| Find all providers in zip 27886 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801214341 | Andrea Cline | Nurse Anesthetist, Certified Registered | 111 Hospital Drive, Tarboro, NC 27886 | 2014-04-02 |
| 1962608950 | Nancy Lenora Lane | Nurse Anesthetist, Certified Registered | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2007-06-26 |
| 1194703884 | East Carolina Health - Heritage Inc | Nurse Anesthetist, Certified Registered | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316559800 | Caroline Traczyk | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd # Hafs6670, Durham, NC 27705-4699 | 2020-08-18 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1023657426 | Sarah Kuhn | Nurse Anesthetist, Certified Registered | 300 Long Shoals Rd Apt 1l, Arden, NC 28704-7717 | 2020-01-02 |
| 1427697978 | Novant Health Clemmons Outpatient Surgery, LLC | Nurse Anesthetist, Certified Registered | 7210 Village Medical Circel, Ste 235, Clemmons, NC 27012 | 2020-01-02 |
| 1730728270 | Novant Health Kernersville Outpatient Surgery LLC | Nurse Anesthetist, Certified Registered | 1730 Kernersville Medical Pkwy, Ste 304, Kernersville, NC 27284-7198 | 2020-01-02 |
| 1790334274 | Jocelyn Claire Hoffmann | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd Bldg Room6670, Durham, NC 27705-4699 | 2019-09-08 |
| 1033766670 | Apex Anesthesia Inc | Nurse Anesthetist, Certified Registered | 3031 New Bern Ave Ste 100, Raleigh, NC 27610-2989 | 2019-08-19 |
| 1588219307 | Yerilis Ortiz Vazquez | Nurse Anesthetist, Certified Registered | 1000 Central Ave Apt 137, Charlotte, NC 28204-2273 | 2019-08-08 |
| 1992359905 | Andrea Nicole Magri | Nurse Anesthetist, Certified Registered | 1924 W Academy St, Winston Salem, NC 27103-3779 | 2019-07-29 |
| 1093368433 | Jessica Sophia Bennett | Nurse Anesthetist, Certified Registered | 424 Heritage Village Ln, Apex, NC 27502-8492 | 2019-07-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.