Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Open Water Medical, PA

Organization Family Medicine Physician · NPI 1699421065

Open Water Medical, PA is a Family Medicine Physician in Newport, North Carolina. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

263 Howard Blvd
Newport, NC 28570-7927
Phone: (252) 728-5737
Fax: (252) 728-5739
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1699421065
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tisha Smith — Practice Manager · (252) 728-5737
NPI enumeratedFebruary 24, 2022
Last updated in NPPESFebruary 24, 2022
Certification dateFebruary 24, 2022
Mailing address1620c Live Oak St, Beaufort, NC 28516-1583

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