NPIMap

Individual provider Active NPI

Anna Beth Sparks Deaton, PA

  • Physician Assistant
  • Wilmington, NC
National Provider Identifier
1053805523
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-08120 Issued in NC
Practice address
2208 S 17TH St
Wilmington, NC 28401-7593
Phone
(910) 763-3333
Fax
(910) 799-2943
NPI assigned
Jun 19, 2018
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 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 0010-08120 NC Primary

Addresses

Primary practice location

2208 S 17TH St
Wilmington, NC 28401-7593

Mailing address

2208 S 17TH St
Wilmington, NC 28401-7593
Phone (910) 763-3333

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network
Direct Messaging Address adeaton286591@CarolinasHealthcareSystem.direct-ci.com Atrium Health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180823002500 NC Practitioner - Physician Assistant 8527317569 Reassigns benefits to 4 organizations
I20220604000416 SC Practitioner - Physician Assistant 8527317569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Brain and Spine, P.a.Group PAC ID 0840215786, 22 clinicians

Practice addresses (Care Compare)

215 Station St
A
Jacksonville, NC 28546-6304
Phone (910) 763-3333

2208 S 17TH St
Suite 201
Wilmington, NC 28401-7594
Phone (910) 763-3333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-08120NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jul 23, 2018 Accepting new patients
Atlantic Neurosurgical & Spine Specialist, P.a CurrentSince Nov 1, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince May 1, 2019 Accepting new patients
Carolinas Medical Center CurrentSince Jan 25, 2020 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Feb 24, 2022 Accepting new patients
Carolinas Physicians Network Inc CurrentSince May 1, 2019 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jul 23, 2018 Accepting new patients
Carolinas Medical Center CurrentSince Jan 25, 2020 Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

15110 John J Delaney Dr
Ste 100
Charlotte, NC 28277
Phone (704) 512-5100

2608 E 7th St
Charlotte, NC 28204
Phone (704) 344-9034

1090 Vinehaven Dr NE
Concord, NC 28025
Phone (704) 403-7580

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

2208 S 17th St
Wilmington, NC 28401
Phone (910) 763-3333

2208 S 17th St
Ste 201
Wilmington, NC 28401
Phone (910) 763-3333

704 Gold Hill Rd
Ste 203
Fort Mill, SC 29715
Phone (803) 835-0405

Interoperability endpoints

  • Direct secure messaging: adeaton1608426@direct.novanthealth.org
  • Direct secure messaging: adeaton286591@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1053805523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017593",
            "telephone_number": "910-763-3333",
            "fax_number": "910-799-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017593",
            "telephone_number": "910-763-3333",
            "fax_number": "910-799-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEATON",
        "first_name": "ANNA BETH",
        "middle_name": "SPARKS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adeaton286591@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "15110 John J Delaney Dr",
            "address_2": "Ste 100",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282773544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.