Individual provider Active NPI

Celeste Halcomb, PA-C

  • Physician Assistant
  • Boone, NC
National Provider Identifier
1023265113
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
579 Greenway Rd Ste 200
Boone, NC 28607-4975
Phone
(828) 262-0100
NPI assigned
Aug 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

579 Greenway Rd Ste 200
Boone, NC 28607-4975

Mailing address

579 Greenway Rd Ste 200
Boone, NC 28607-4975
Phone (828) 262-0100

Other practice location 1

170 Prosperous Pl
Lexington, KY 40509-1803
Phone (859) 253-3637

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

OrganizationSpecialtyStatusNew patients
Blue Ridge Pediatric & Adolescent Medicine, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: celestehalcomb@brpami.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1023265113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 GREENWAY RD STE 200",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074975",
            "telephone_number": "828-262-0100",
            "fax_number": "828-262-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 GREENWAY RD STE 200",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074975",
            "telephone_number": "828-262-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Prosperous Pl",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091803",
            "country_code": "US",
            "telephone_number": "859-253-3637",
            "fax_number": "859-281-6783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALCOMB",
        "first_name": "CELESTE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.

Verify at the official NPI Registry.