| Pitt Family Physicians, Pa | |
|
137 3rd St Ayden NC 28513-7252 | |
| (252) 746-3116 | |
| (252) 746-2394 |
| Full Name | Pitt Family Physicians, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 137 3rd St, Ayden, North Carolina |
| Authorized Official Name and Position | James Madison Galloway (PRESIDENT) |
| Authorized Official Contact | 2527463116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pitt Family Physicians, Pa 137 3rd St Ayden NC 28513-7252 Ph: (252) 746-3116 | Pitt Family Physicians, Pa 137 3rd St Ayden NC 28513-7252 Ph: (252) 746-3116 |
| NPI Number | 1578638078 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 02/19/2008 |
| Medicare PECOS PAC ID | 4688716178 |
|---|---|
| Medicare Enrollment ID | O20100121000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578638078 | NPI | - | NPPES |
| 02398 | Other | NC | BLUE CROSS BLUE SHIELD |
| 8902398 | Medicaid | NC | |
| CD1753 | Other | NC | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | James M Galloway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205898426 PECOS PAC ID: 4486796984 Enrollment ID: I20100122000389 |
| Provider Name | Tracey N Bowen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548221039 PECOS PAC ID: 6204978703 Enrollment ID: I20100123000110 |
| Provider Name | Thomas J Haddock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255067872 PECOS PAC ID: 8527434612 Enrollment ID: I20221013003623 |