Individual provider Active NPI

Rebecca McElhannon Panuski, M.D.

  • Family Medicine Physician
  • Mooresville, NC
National Provider Identifier
1043299290
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9800354 Issued in NC
Practice address
106 Corporate Park Dr
Suite 200 & 300
Mooresville, NC 28117-7134
Phone
(704) 235-9090
Fax
(704) 235-9101
NPI assigned
Jan 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9800354 NC Primary

Addresses

Primary practice location

106 Corporate Park Dr
Suite 200 & 300
Mooresville, NC 28117-7134

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

130 Plantation Ridge Dr
Mooresville, NC 28117-9159
Phone (704) 316-1635

Other practice location 2

130 Plantation Ridge Dr
Mooresville, NC 28117-9159
Phone (704) 316-1635

Other practice location 3

123 Professional Park Dr Ste 200
Mooresville, NC 28117
Phone (423) 343-7016

Other identifiers 1

IdentifierTypeStateIssuer
891130TMedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RPANUSKI5366@DIRECT.NOVANTHEALTH.ORG

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050303000692 NC Practitioner - Family Practice 3375597214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Practice addresses (Care Compare)

106 Corporate Park Dr
Suite 200
Mooresville, NC 28117-6956
Phone (704) 235-9090

3367 N NC 16 Business Hwy
Denver, NC 28037-8265
Phone (419) 221-6717

Hospital & facility affiliations

  • Gentiva Health Services Home health agency, Hickory, NC, CCN 347300
  • Adoration Home Health Home health agency, Salisbury, NC, CCN 347116
  • Novant Health Huntersville Medical Center Hospital, Huntersville, NC, CCN 340183
  • Duke Health Lake Norman Hospital Hospital, Mooresville, NC, CCN 340129
  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Novant Health Rowan Medical Center Hospital, Salisbury, NC, CCN 340015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9800354NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Family Medicine CurrentSince Jul 16, 2020 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

106 Corporate Park Dr
#200300
Mooresville, NC 28117
Phone (704) 235-9090

106 Corporate Park Dr
Ste 200
Mooresville, NC 28117
Phone (704) 235-9090

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 9

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": "1137283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1043299290",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CORPORATE PARK DR",
            "address_2": "SUITE 200 & 300",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281177134",
            "telephone_number": "704-235-9090",
            "fax_number": "704-235-9101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Plantation Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281179159",
            "country_code": "US",
            "telephone_number": "704-316-1635",
            "fax_number": "704-316-1636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Plantation Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281179159",
            "country_code": "US",
            "telephone_number": "704-316-1635",
            "fax_number": "704-316-1636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Professional Park Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "28117",
            "country_code": "US",
            "telephone_number": "423-343-7016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANUSKI",
        "first_name": "REBECCA",
        "middle_name": "MCELHANNON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-15",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9800354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891130T",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RPANUSKI5366@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "130 Plantation Ridge Dr",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281179159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.