NORTH RIVER PRIMECARE PC (NPI# 1356695613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356695613 |
| Entity Type | Organization |
| Organization Name | NORTH RIVER PRIMECARE PC |
| Practice Address |
301 Jones Ave Beaufort NC 28516-1514 |
| Practice Telephone | 2527283252 |
| Practice Fax Number | 2527283251 |
| Mailing Telephone | 2527283252 |
| Mailing Fax Number | 2527283251 |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-12-19 |
| Authorized Official Name | SARAH JANE RANDELL (BILLING MANAGER) |
| Authorized Official Telephone | 2527283252 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
900119 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7004406 | 05 | |
| NC | 7005549 | 05 | |
| NC | 5907341 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457541484 | North River Primecare PC | Family Medicine | 301 Jones Ave, Beaufort, NC 28516-1514 | 2007-07-26 |
| Street Address |
301 JONES AVE |
| City | BEAUFORT |
| State | NC |
| Zip Code | 28516-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457541484 | North River Primecare PC | Family Medicine | 301 Jones Ave, Beaufort, NC 28516-1514 | 2007-07-26 |
| 1033450499 | Nancy Hope Gurganus I | Nurse Practitioner | 301 Jones Ave, Beaufort, NC 28516-1514 | 2013-03-11 |
| 1093055873 | Sarah Randles | Chiropractor | 301 Jones Ave, Beaufort, NC 28516-1514 | 2013-02-15 |
| 1124393335 | Adam Randles | Chiropractor | 301 Jones Ave, Beaufort, NC 28516-1514 | 2012-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891286696 | Hannah Lee Thompson | Dentist | 1619 Like Oak St, Beaufort, NC 28516 | 2018-05-29 |
| 1487952560 | Renee Fowler Laton | Pharmacist | 1710 Main St, Beaufort, NC 28516 | 2011-03-14 |
| 1184927162 | Otway Pharmacy Partners, Inc | Pharmacy | 708 Highway 70 East - Otway, Beaufort, NC 28516 | 2010-12-13 |
| 1467683441 | Richard H. Grossheim | Pharmacist | 708 Hwy 70 East-otway, Beaufort, NC 28516 | 2009-08-07 |
| 1114177144 | Winifred G Mccarthy | Registered Nurse | 1224 Harkers Island Road, Beaufort, NC 28516 | 2008-09-26 |
| 1548389521 | Danielle W. Norris | Occupational Therapist | 908 Eastman Creek Drive, Beaufort, NC 28516 | 2007-03-28 |
| 1518019413 | William Jack Orton Sr. | Physician Assistant | 97 Campen Rd, Beaufort, NC 28516 | 2007-01-18 |
| 1003915018 | James J Crosswell Jr Md Pa | Family Medicine | 97 Campen Road, Beaufort, NC 28516 | 2006-09-22 |
| 1760595573 | Morehead City Drug Co | Pharmacy | 1404 Live Oak St, Beaufort, NC 28516 | 2006-08-16 |
| 1629099577 | Laura Ellen Holland | Nurse Practitioner | 301 Jones Avenue, Beaufort, NC 28516 | 2006-07-23 |
| Find all providers in zip 28516 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598121642 | Cape Lookout Primary Care, PC | Nurse Practitioner | 345 Hwy 70 Otway, Beaufort, NC 28516-6521 | 2016-01-05 |
| 1679642870 | Christine N. Houser | Nurse Practitioner | Agape Senior Primary Care Inc, 11 Todd Drive, Beaufort, SC 29902 | 2006-11-06 |
| 1629099577 | Laura Ellen Holland | Nurse Practitioner | 301 Jones Avenue, Beaufort, NC 28516 | 2006-07-23 |
| 1811509854 | Angelica Grace Romasko | Nurse Practitioner | 670 Boulevard De France, Beaufort, SC 29902 | 2020-08-20 |
| 1134628373 | Leigh Jacobs | Nurse Practitioner | 16 Kemmerlin Ln Ste A, Beaufort, SC 29907-2709 | 2018-02-02 |
| 1902152911 | Ronda Inga Oconnell | Nurse Practitioner | 989 Ribaut Rd, Suite 260, Beaufort, SC 29902-5472 | 2012-07-27 |
| 1720383854 | Jimmie Howell Toler | Nurse Practitioner | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2011-01-21 |
| 1750579967 | Beverly Ann Reilly | Nurse Practitioner | 335 Pleasant Point Dr, Beaufort, SC 29907-1164 | 2007-10-12 |
| 1760556856 | Amy E. Wagner | Nurse Practitioner | 955 Ribaut Road, Beaufort Memorial Hospital Bmac 4th Floor, Beaufort, SC 29902 | 2006-11-20 |
| 1942260153 | Margaret A Bisceglia | Nurse Practitioner | Beaufort Memorial Obstetrics & Gynecology Specialists, 989 Ribaut Rd, Ste 210, Beaufort, SC 29902-5472 | 2006-03-23 |
| Find all providers in BEAUFORT | ||||
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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.