Organization
TODDS NORTHSIDE PROFESSIONAL PCHY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL TWIFORD (PRES)
(252) 331-1333
Entity
Organization
Contact information
Practice address
1141 N ROAD ST, STE A1, ELIZABETH CITY, NC 27909-3354
(252) 331-1333
(252) 331-1911
Mailing address
PO BOX 1448, ELIZABETH CITY, NC 27906-1448
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
333600000X
Pharmacy
05351
NC
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0155036
—
NC
01
—
3428174
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/12/2006
Last updated
09/11/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up