MR. JOBE COY METTS III (NPI# 1861463424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861463424 |
| Entity Type | Individual |
| Full Name | MR. JOBE COY METTS III |
| Credential | MD |
| Practice Address |
2509 Wooten Blvd Sw Wilson NC 27895 |
| Mailing Address |
2509 Wooten Blvd Sw Wilson NC 27895-4426 |
| Practice Telephone | 2522435511 |
| Practice Fax Number | 2523997575 |
| Mailing Telephone | 2522435511 |
| Mailing Fax Number | 2523997575 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2015-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 9300238 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89137V7 | 05 |
| Street Address |
2509 WOOTEN BLVD SW |
| City | WILSON |
| State | NC |
| Zip Code | 27895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992762728 | Wilson Urology Pa | Urology | 2509 Wooten Blvd Sw, Wilson, NC 27895 | 2006-04-26 |
| 1639140163 | James Burnell Rounder Jr. | Urology | 2509 Wooten Blvd Sw, Wilson, NC 27895 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417911223 | Michael J Kushner | Psychiatry & Neurology | 1803 Forest Hills Road, Wilson, NC 27895-3148 | 2006-04-17 |
| 1588612691 | Claire Renee Owens | Physician Assistant | 2402 Camden St, Suite 300, Wilson, NC 27895-3526 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841384 | Karen Yvette Johnson | Counselor | 2500 Saint Christopher Cir Sw Apt 1, Wilson, NC 27893-4474 | 2020-11-05 |
| 1245847524 | Graceland Student Services LLC | Early Intervention Provider Agency | 610 Fairview Ave., Wilson, NC 27893 | 2020-09-30 |
| 1588279442 | C & C Homecare, LLC | Community Based Residential Treatment Facility, Mental Illness | 5119 Holdens Cross Rd, Wilson, NC 27893-8253 | 2020-09-08 |
| 1316551633 | Keith Ryan Knudson | Physical Therapist | 1230 North Fall Creek Rd, Wilson, WY 83014 | 2020-09-03 |
| 1114531993 | Pathways Human Services of North Carolina, LLC | Counselor | 2835 Daisy Ln N Ste B, Wilson, NC 27896-6942 | 2020-08-31 |
| 1508477894 | Evan Michael Abatiell | Specialist/Technologist | 400 Atlantic Christian E West Ne, Wilson, NC 27893 | 2020-08-11 |
| 1689284820 | Corrie Hansen | Nurse Practitioner | 1700 Tarboro St W Ste 100, Wilson, NC 27893-3481 | 2020-08-03 |
| 1881203768 | Kristen Edwards Dempsey | Registered Nurse | 4503 Pinehurst Dr N, Wilson, NC 27896-9003 | 2020-07-28 |
| 1255949905 | Caitlin Elizabeth Ciccone | Physical Therapist | 4010 N Lake Creek Dr, Unit C, Wilson, WY 83014-8301 | 2020-07-20 |
| 1679100606 | Newgreen Inhomecare Group Inc | Registered Nurse | 121 Nast Street N, Wilson, NC 27893 | 2020-03-27 |
| Find all providers in WILSON | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992762728 | Wilson Urology Pa | Urology | 2509 Wooten Blvd Sw, Wilson, NC 27895 | 2006-04-26 |
| 1639140163 | James Burnell Rounder Jr. | Urology | 2509 Wooten Blvd Sw, Wilson, NC 27895 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673423 | Meredith Abernethy | Urology | 140 Kimel Park Dr # 100, Winston Salem, NC 27103-6184 | 2020-09-09 |
| 1942833678 | Joshua Daniel Howell | Urology | 10650 Park Rd Ste 320, Charlotte, NC 28210-8543 | 2020-02-21 |
| 1144887019 | Shuo Liu | Urology | Department of Urology Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2019-05-25 |
| 1427563725 | Hifu Prostate Services, LLC | Urology | 4108 Park Rd Ste 205, Charlotte, NC 28209-2260 | 2017-12-08 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1184163883 | Dlp Central Carolina Medical Group LLC | Urology | 1139 Carthage St Ste 110-b, Sanford, NC 27330-4111 | 2017-02-15 |
| 1578007225 | Cumberland County Hospital System Inc | Urology | 805 Tilghman Dr, Suite A, Dunn, NC 28334-5887 | 2016-12-15 |
| 1063963080 | Novant Medical Group, Inc | Urology | 1730 Kernersville Medical Pkwy Ste 303, Kernersville, NC 27284-7198 | 2016-10-14 |
| 1588019152 | Murphy Medical Center, Inc. | Urology | 75 Medical Park Ln Ste A, Murphy, NC 28906-6673 | 2016-05-02 |
| 1427446723 | Regional Physicians LLC | Urology | 217- 218 Gatewood Ave, High Point, NC 27262-4877 | 2015-01-08 |
| Find all providers with the same taxonomy | ||||
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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.