Individual provider Active NPI

Chiarina Simeone Heyder, PA-C

  • Physician Assistant
  • Elizabeth City, NC
National Provider Identifier
1023659554
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-09526 Issued in NC
Practice address
1134 N Road St Ste 9
Elizabeth City, NC 27909-3467
Phone
(252) 331-1100
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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 0010-09526 NC Primary

Addresses

Primary practice location

1134 N Road St Ste 9
Elizabeth City, NC 27909-3467

Mailing address

706 Small Dr
Elizabeth City, NC 27909-7499
Phone (252) 202-4766

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
I20200414000069 NC Practitioner - Physician Assistant 1153751284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Carolina Cardiovascular, PAGroup PAC ID 8628051026, 8 clinicians

Practice addresses (Care Compare)

1134 N Rd St
BLDG 9a
Elizabeth City, NC 27909
Phone (252) 337-3420

1134 N Rd St
Suite 9
Elizabeth City, NC 27909-3365
Phone (252) 338-9451

1134 N Rd St BLDG
Suite 9
Elizabeth City, NC 27909-3365

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-09526NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Physician Services - Sentara, Inc CurrentSince Oct 11, 2025 Accepting new patients
Albemarle Physician Services - Sentara, Inc CurrentSince Oct 11, 2025 Accepting new patients

Locations

211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590

905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460

1134 N Road St
Bldg 9A
Elizabeth City, NC 27909
Phone (252) 331-1100

905 Thunder Rd
Ste 110
Elizabeth City, NC 27909
Phone (252) 334-0560

1138 N Road St
Elizabeth Cty, NC 27909
Phone (252) 335-4890

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1023659554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 SMALL DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097499",
            "telephone_number": "252-202-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 N ROAD ST STE 9",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093467",
            "telephone_number": "252-331-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYDER",
        "first_name": "CHIARINA",
        "middle_name": "SIMEONE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.