Active NPI
Misty Ann Buchanan, PA
- Physician Assistant
- Walkertown, NC
National Provider Identifier
1003862558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 103025
- Practice address
- 2800 Darrow Rd
Walkertown, NC 27051-9206 - Phone
- (336) 595-3699
- Fax
- (336) 595-3193
- NPI assigned
- May 26, 2006
- Last updated
- Oct 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 103025 | NC | Primary |
Addresses
Primary practice location
2800 Darrow Rd
Walkertown, NC 27051-9206
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-7840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8101546 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbuchanan4864@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexmedical, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Women's Center of Salisbury
- Obstetrics & Gynecology Physician
- Salisbury, NC
- NPI 1508168006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1003862558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-384-7840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 DARROW RD",
"city": "WALKERTOWN",
"state": "NC",
"postal_code": "270519206",
"telephone_number": "336-595-3699",
"fax_number": "336-595-3193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHANAN",
"first_name": "MISTY",
"middle_name": "ANN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2020-10-28",
"certification_date": "2020-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "103025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8101546",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mbuchanan4864@direct.novanthealth.org",
"affiliation": "N",
"address_1": "2800 Darrow Rd",
"city": "Walkertown",
"state": "NC",
"country_code": "US",
"postal_code": "270519206",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Walkertown, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.