COLUMBUS REGIONAL HEALTH NETWORK (NPI# 1518263268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518263268 |
| Entity Type | Organization |
| Organization Name | COLUMBUS REGIONAL HEALTH NETWORK |
| Other Organization Name | SOUTHEAST PRIMARY CARE |
| Practice Address |
619 Jefferson St Whiteville NC 28472-3707 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 9106420331 |
| Mailing Telephone | 7046310002 |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | MARVIN ARMSTRONG (CFO) |
| Authorized Official Telephone | 7043552000 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLUMBUS REGIONAL HEALTH NETWORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southeast Primary Care | Doing Business As Name - Organization |
| Southeast Primary Care | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14508 James B White Hwy S, Tabor City, NC 284638358 | 9106537000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790224962 | Columbus Regional Health Network | Orthopaedic Surgery | 701 Jefferson St, Whiteville, NC 28472-3704 | 2017-02-21 |
| 1134509912 | Columbus Regional Health Network | Internal Medicine | 320 Jefferson St, Whiteville, NC 28472-3602 | 2015-06-05 |
| 1851724645 | Columbus Regional Health Network | Pediatrics | 36 Mcneill Plz, Whiteville, NC 28472-8602 | 2013-08-15 |
| 1629318886 | Columbus Regional Health Network | Family Medicine | 14508 James B White Hwy S, Tabor City, NC 28463-8358 | 2013-02-26 |
| 1801126479 | Columbus Regional Health Network | Urology | 320 Jefferson St, Whiteville, NC 28472-3602 | 2010-01-05 |
| 1932439593 | Columbus Regional Health Network | Urology | 25 Union School Rd Nw, Ocean Isle Beach, NC 28469-7307 | 2010-01-05 |
| 1508001009 | Columbus Regional Health Network | Internal Medicine | 500 Jefferson St, Whiteville, NC 28472-3634 | 2008-12-11 |
| Street Address |
619 JEFFERSON ST |
| City | WHITEVILLE |
| State | NC |
| Zip Code | 28472-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568450682 | John David Hodgson | Internal Medicine | 619 Jefferson St, Whiteville, NC 28472-3707 | 2005-10-12 |
| 1679060784 | Shannon Godwin | Nurse Practitioner | 619 Jefferson St, Whiteville, NC 28472-3707 | 2018-04-16 |
| 1992010094 | Waccamaw Primary Care Inc | Physician Assistant | 619 Jefferson St, Whiteville, NC 28472-3707 | 2010-08-12 |
| 1407188212 | John F Munroe Md, Pa | Internal Medicine | 619 Jefferson St, Whiteville, NC 28472-3707 | 2010-02-03 |
| 1316279128 | John D Hodgson Md, Pa | Internal Medicine | 619 Jefferson St, Whiteville, NC 28472-3707 | 2010-02-03 |
| 1407187057 | Richard C. Fleming, M.d., P.a. | Internal Medicine | 619 Jefferson St, Whiteville, NC 28472-3707 | 2010-01-21 |
| 1942474507 | Christy T Perdue Md Pa | Family Medicine | 619 Jefferson St, Whiteville, NC 28472-3707 | 2008-04-15 |
| 1013139096 | Jeffrey Clarke | Physician Assistant | 619 Jefferson St, Whiteville, NC 28472-3707 | 2007-05-02 |
| 1639229479 | Christy Perdue | Family Medicine | 619 Jefferson St, Whiteville, NC 28472-3707 | 2007-01-12 |
| 1841354560 | Jacqueline O'kane | Nurse Practitioner | 619 Jefferson St, Whiteville, NC 28472-3707 | 2006-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720503568 | Anthony Ruan | Pharmacist | 1728 S Madison St., Whiteville, NC 28472 | 2017-08-12 |
| 1336677699 | Brittany Canady | Nurse Practitioner | 5 Whiteville Towncenter, Whiteville, NC 28472 | 2017-05-31 |
| 1801335773 | Mary Mcneill Hooks | Pharmacist | 612-10 Jefferson Street, Whiteville, NC 28472 | 2017-02-13 |
| 1386180248 | Mickey Worthington | Pharmacist | 20 Whiteville Town Ctr, Whiteville, NC 28472 | 2017-01-16 |
| 1851702138 | Tom Mauney Owens | Pharmacist | 612- 4 Jefferson Street, Whiteville, NC 28472 | 2014-05-08 |
| 1740429778 | Coastal Hearing Centers, Inc | Audiologist | 302 Liberty Street, Whiteville, NC 28472 | 2009-02-15 |
| 1689831653 | Amber Marie Wallace Robinson | Occupational Therapy Assistant | 1472 Pickney Street, Whiteville, NC 28472 | 2008-05-19 |
| 1225236417 | Sandra Pickett | Speech-Language Pathologist | 123 E. Columbus Street, Whiteville, NC 28472 | 2007-07-10 |
| 1306041249 | Kimberlee White | Speech-Language Pathologist | 123 E Columbus Street, Whiteville, NC 28472 | 2007-06-20 |
| 1568667418 | Ismael Montes | Respiratory Therapist, Registered | 1014 N. Jk Powell Boulevard, Whiteville, NC 28472 | 2007-06-20 |
| Find all providers in zip 28472 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497170237 | Whiteville Family Practice, Pa | Family Medicine | 282 Flowers Pridgen Rd, Whiteville, NC 28472-9110 | 2014-03-04 |
| 1932245305 | Kevin Ray Pressley | Family Medicine | 805 S Madison St, Whiteville, NC 28472-4613 | 2007-01-30 |
| 1639287717 | David E White | Family Medicine | 326 Columbus Corners Dr, Whiteville, NC 28472-4929 | 2006-08-28 |
| 1407858301 | Peggy S Barnhill | Family Medicine | 630 S Madison St, Whiteville, NC 28472-4130 | 2005-08-11 |
| 1710249727 | Ramya Vadlamudi | Family Medicine | 500 Jefferson St, Whiteville, NC 28472-3634 | 2012-06-14 |
| 1568781771 | Monique Mary Moona | Family Medicine | 500 Jefferson St, Whiteville, NC 28472-3634 | 2010-05-27 |
| 1497987440 | Harrison B Baucom | Family Medicine | 500 Jefferson St, Whiteville, NC 28472-3634 | 2009-08-10 |
| 1306080510 | Waseem Ghannam | Family Medicine | 500 Jefferson St, Whiteville, NC 28472-3634 | 2009-05-01 |
| 1942474507 | Christy T Perdue Md Pa | Family Medicine | 619 Jefferson St, Whiteville, NC 28472-3707 | 2008-04-15 |
| 1639352032 | North Whiteville Urgent Care & Family Practice Pa | Family Medicine | 614 N Jk Powell Blvd, Whiteville, NC 28472-3008 | 2007-12-10 |
| Find all providers in WHITEVILLE | ||||
| City | WHITEVILLE |
| Zip Code | 28472 |
Please comment or provide details below to improve the information on COLUMBUS REGIONAL HEALTH NETWORK.
| 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.