HALIFAX GASTROENTEROLOGY PC NPI 1306855770

NPI Information

  • NPI: 1306855770
  • Provider Name: HALIFAX GASTROENTEROLOGY PC
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • CLIA Number: 34D1004739
  • Address: 1007 GREGORY DR
    ROANOKE RAPIDS, NC
    ZIP 27870
  • Phone: (252) 535-6478

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NPI Details

HALIFAX GASTROENTEROLOGY PC is a gastroenterology internal medicine in Roanoke Rapids, NC. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. HALIFAX GASTROENTEROLOGY PC NPI is 1306855770. The provider is registered as an organization entity type.

The provider's business location address is:

1007 GREGORY DR
ROANOKE RAPIDS, NC
ZIP 27870-451
Phone: (252) 535-6478
Fax: (252) 535-6483

The provider's authorized official is Padma Devi Yerra .
The authorized official title is Off Manager and has the following contact phone number (252) 535-6478.

The CLIA number assigned to this NPI record is 34D1004739 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Diagnostic exam of lower portion of large bowel using a flexible endoscope (HCPCS:45330)

The enumeration date for this NPI number is 8/5/2006 and was last updated on 2/4/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalAS0141NORTH CAROLINANo
2207RG0100XInternal MedicineGastroenterology9700163NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F51270MEDICARE UPIN
2891068EMEDICAIDNORTH CAROLINA
30167JOTHERNORTH CAROLINABCBS
42235302BMEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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