Charles A Pfaff Jr., PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

101473 Issued in NC

Practice address

4220 Sound Dr
Morehead City, NC 28557-2860

Phone

(252) 726-9423

Fax

(252) 726-0373

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carteret Medical Group LLCGroup PAC ID 5698947794, 65 clinicians

Moore Orthopedics and Sports Medicine PAGroup PAC ID 1153450390, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carteret General Hospital Hospital, Morehead City, NC, CCN 340142

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.pfaff.1@2367.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/15484/brand/1/csg/1/fhir/r4
• Direct secure messaging: charles.pfaff.1@15484.direct.athenahealth.com

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.

• Carteret Medical Group LLC

  • Gastroenterology Physician
  • Morehead City, NC
  • NPI 1700164464
  Medicare reassignment Care Compare group NPD
• Moore Orthopedics and Sports Medicine, P.a.

  • Orthopaedic Surgery Physician
  • Morehead City, NC
  • NPI 1104156108
  Medicare reassignment Care Compare group
• Carteret County General Hospital Corporation

  • General Acute Care Hospital
  • Morehead City, NC
  • NPI 1760479331
  Medicare reassignment NPD

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

• Carteret County General Hospital Corporation

  • General Acute Care Hospital
  • Morehead City, NC
  • NPI 1760479331
  Care Compare affiliation

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1033217583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 SOUND DR",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572860",
            "telephone_number": "252-726-9423",
            "fax_number": "252-726-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 SOUND DR",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572860",
            "telephone_number": "252-726-9423",
            "fax_number": "252-726-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFAFF",
        "first_name": "CHARLES",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "101473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8960286",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marta A Pearson, RD,LDN,MPH
• Mary E Pearson, LPC
• Brandy R Perkins, NP-C
• Eliza McCall Petersen, MS, RDN, LDN
• Jennifer Tremblay Pettee, LCSW
• Chuc Phan
• Deborah B Phillips, C-FNP
• John W Phillips
• Michele Garland Phillips
• Melanie Rebecca Pietrowiak, LCSWA

• Surgical Physician Assistant in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Surgical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.