Individual provider Active NPI

Brandy Norris Mountcastle, PA-C

  • Physician Assistant
  • Lillington, NC
National Provider Identifier
1043541659
Registry record updated Jun 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-02148 Issued in NC
Practice address
701 S Main St
Lillington, NC 27546-7681
Phone
(910) 514-1152
NPI assigned
Jan 21, 2010
Last updated
Jun 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2021

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 0010-02148 NC Primary

Addresses

Primary practice location

701 S Main St
Lillington, NC 27546-7681

Mailing address

701 S Main St
Lillington, NC 27546-7681
Phone (910) 984-1152

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
I20100216000335 NC Practitioner - Physician Assistant 0749324648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountcastle Medical and Med Spa PLLCGroup PAC ID 7416359260, 3 clinicians
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Practice addresses (Care Compare)

701 S Main St
Lillington, NC 27546-7681
Phone 91051411521325

721 Tilghman Dr
Suite 100
Dunn, NC 28334-6066
Phone (910) 892-5635

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Radiology Associates PA Past Accepting new patients
Lumberton Emergency Physicians Past Accepting new patients
One Stop Rehab LLC PastSince Aug 18, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brandymountcastle@mmms.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624752000000",
    "number": "1043541659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S MAIN ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275467681",
            "telephone_number": "910-984-1152",
            "fax_number": "910-984-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S MAIN ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275467681",
            "telephone_number": "910-514-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNTCASTLE",
        "first_name": "BRANDY",
        "middle_name": "NORRIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2021-06-27",
        "certification_date": "2021-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lillington, NC

Sources for this page

Verify at the official NPI Registry.