Open Water Medical, PA
NPI 1497490957 · Family Medicine Physician · Jacksonville, NC
Open Water Medical, PA is a Family Medicine Physician organization in Jacksonville, NC (NPI 1497490957).
Provider details
- NPI number
- 1497490957
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tisha Smith, Practice Manager(252) 728-5737
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-04-29
- Last updated
- 2022-04-29
- Certified
- 2022-04-29
Frequently asked questions
- What is Open Water Medical, PA's NPI number?
- Open Water Medical, PA's National Provider Identifier (NPI) is 1497490957, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Open Water Medical, PA?
- Open Water Medical, PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Open Water Medical, PA located?
- Open Water Medical, PA's practice location on file with NPPES is 11 Office Park Dr, Jacksonville, NC 28546-7326.
- What is Open Water Medical, PA's phone number?
- The practice phone number listed in the NPPES registry for Open Water Medical, PA is (910) 353-9906.
- Who is the authorized official for Open Water Medical, PA?
- The authorized official listed on Open Water Medical, PA's NPPES record is Tisha Smith, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Open Water Medical, PA's NPI active?
- Yes — Open Water Medical, PA's NPI (1497490957) is active in the NPPES registry as of the last update on 2022-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.