Edenton Internal Medicine PA
Edenton Internal Medicine PA is a healthcare organization registered as Internal Medicine Physician in Edenton, NC, holding Type 2 (organization) NPI 1104816396 since 2005. The authorized official on file is Joseph Haskett, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104816396 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Edenton Internal Medicine PA |
| Practice address | 104 MARK DR, Edenton, NC, 27932 |
| Phone | 2524825171 |
| Fax | 2524825173 |
| Enumeration date | 2005-10-27 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Joseph Haskett |
|---|---|
| Title | President |
| Phone | 2524825171 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890127H | Medicaid | NC | — |
Copy-ready billing details
Provider: Edenton Internal Medicine PA NPI: 1104816396 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 104 MARK DR, Edenton, NC, 27932
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1932198090 | John Taylor | Individual | Internal Medicine Physician | Edenton, NC |
| 1669461729 | Joseph Haskett | Individual | Internal Medicine Physician | Edenton, NC |
| 1699218842 | Jaffer Hussain | Individual | Internal Medicine Physician | Edenton, NC |
| 1710656558 | Atif Nasrullah | Individual | Internal Medicine Physician | Edenton, NC |
| 1841919651 | Ruchi Bhattarai | Individual | Internal Medicine Physician | Edenton, NC |
Verify this record
Cross-check NPI 1104816396 against the authoritative CMS record: view Edenton Internal Medicine PA on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Edenton Internal Medicine PA?
Who is the authorized official for Edenton Internal Medicine PA?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.