Individual provider Active NPI

Joanna Beth Wisotsky, PA

  • Physician Assistant
  • Cary, NC
National Provider Identifier
1003096934
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
600 New Waverly PL Ste 203
Cary, NC 27518-7404
Phone
(919) 410-7083
NPI assigned
Nov 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 001000939 NC
Physician Assistant 363A00000X NC Primary

Addresses

Primary practice location

600 New Waverly PL Ste 203
Cary, NC 27518-7404

Mailing address

600 New Waverly PL Ste 203
Cary, NC 27518-7404
Phone (919) 410-7083

Other names 1

  • Ms. Joanna Beth Bernstein Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131022002061 NC Practitioner - Physician Assistant 6709817547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Raleigh Durham Medical Group PAGroup PAC ID 2365409588, 80 clinicians

Practice addresses (Care Compare)

600 New Waverly PL
Suite 203
Cary, NC 27518-7404
Phone (919) 859-5650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001000939NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Durham Medical Group PA CurrentSince Mar 13, 2023 Accepting new patients
Raleigh Durham Medical Group PA CurrentSince Mar 13, 2023 Accepting new patients
Carolina Behavioral Care, P.a. CurrentSince Jan 1, 2023 Accepting new patients
RDMG Associates, PA Physician Assistant Current Accepting new patients

Locations

600 New Waverly Pl
Ste 203
Cary, NC 27518
Phone (919) 410-7083

97 Cornerstone Dr
Cary, NC 27519
Phone (919) 460-0993

10620 Park Rd
Ste 128
Charlotte, NC 28210
Phone (704) 542-6111

4003 N Roxboro St
Durham, NC 27704
Phone (919) 220-3333

510 Dabney Dr
Henderson, NC 27536
Phone (252) 431-0072

7124 US Highway 64 E
Knightdale, NC 27545
Phone (919) 266-6211

Interoperability endpoints

  • Direct secure messaging: joanna-wisotsky@anineurology.e-mdsdirect.com
  • Direct secure messaging: joannawisotsky@rdmgbh.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1003096934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NEW WAVERLY PL STE 203",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187404",
            "telephone_number": "919-410-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NEW WAVERLY PL STE 203",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187404",
            "telephone_number": "919-410-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISOTSKY",
        "first_name": "JOANNA",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "001000939",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "BERNSTEIN",
            "middle_name": "BETH",
            "prefix": "MS.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.