Individual provider Active NPI

Megan Way, PA-C

  • Physician Assistant
  • Salisbury, NC
National Provider Identifier
1013301092
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001005659 Issued in NC
Practice address
320 Jake Alexander Blvd W Ste 103
Salisbury, NC 28147-1443
Phone
(704) 797-0065
Fax
(704) 797-0067
NPI assigned
Mar 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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 001005659 NC
Physician Assistant 363A00000X 001005659 NC Primary

Addresses

Primary practice location

320 Jake Alexander Blvd W Ste 103
Salisbury, NC 28147-1443

Mailing address

320 Jake Alexander Blvd W Ste 103
Salisbury, NC 28147-1443
Phone (704) 797-0065

Other practice location 1

9735 Kincey Ave
Suite 100
Huntersville, NC 28078-9118
Phone (704) 500-2332

Other identifiers 1

IdentifierTypeStateIssuer
101-330-1092MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160620000257 NC Practitioner - Physician Assistant 3375834583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001005659NCMDMedical Physician Assistant

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JACBAA

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1013301092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 JAKE ALEXANDER BLVD W STE 103",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471443",
            "telephone_number": "704-797-0065",
            "fax_number": "704-797-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 JAKE ALEXANDER BLVD W STE 103",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471443",
            "telephone_number": "704-797-0065",
            "fax_number": "704-797-0067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9735 Kincey Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280789118",
            "country_code": "US",
            "telephone_number": "704-500-2332",
            "fax_number": "888-511-8009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAY",
        "first_name": "MEGAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "001005659",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001005659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101-330-1092",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

Verify at the official NPI Registry.