Individual provider Active NPI

Joshua Steven Perry, PA-C

  • Physician Assistant
  • Rockingham, NC
National Provider Identifier
1043835796
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-09815 Issued in NC
Practice address
809 S Long Dr Ste G
Rockingham, NC 28379-4375
Phone
(910) 417-4080
Fax
(910) 417-4085
NPI assigned
Jun 9, 2020
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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 0010-09815 NC Primary

Addresses

Primary practice location

809 S Long Dr Ste G
Rockingham, NC 28379-4375

Mailing address

809 S Long Dr Ste G
Rockingham, NC 28379-4375
Phone (910) 417-4080

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
I20200925002130 NC Practitioner - Physician Assistant 2567881477 Reassigns benefits to 3 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
MCPC-6 LLCGroup PAC ID 5294990123, 6 clinicians

Practice addresses (Care Compare)

4565 Fayetteville Rd
B
Raeford, NC 28376-7998
Phone (910) 878-5150

522 Allen St
Suite 103
Troy, NC 27371-2861
Phone (910) 715-1794

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.75 of 100Reported as group
Quality
95.44
Promoting interoperability
87
Improvement activities
40
Cost
82.13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-6, LLC CurrentSince Jan 15, 2024 Accepting new patients
MCPC-6, LLC CurrentSince Jan 15, 2024 Accepting new patients

Locations

4565 Fayetteville Rd
#B
Raeford, NC 28376
Phone (910) 878-5150

1227 Carthage St
Sanford, NC 27330
Phone (919) 774-0665

522 Allen St
Ste 103
Troy, NC 27371
Phone (910) 571-5710

Interoperability endpoints

  • Direct secure messaging: jperry7267@firsthealth.direct-ci.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.

Hospital & facility affiliations 4

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": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1043835796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 S LONG DR STE G",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794375",
            "telephone_number": "910-417-4080",
            "fax_number": "910-417-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S LONG DR STE G",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794375",
            "telephone_number": "910-417-4080",
            "fax_number": "910-417-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JOSHUA",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

Sources for this page

Verify at the official NPI Registry.