Cynthia Brantley, GNP
Individual provider Active NPI Gerontology Nurse Practitioner · Asheville, NC
NPI 1063468601 · NPPES record last updated Dec 7, 2016
Key facts
- NPI
- 1063468601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 5000950 (NC)
- Practice address
- 90 Southside Ave
Suite 350
Asheville, NC 28801-4160 - Phone
- (828) 277-4810
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CS Pacs 3 Southeast LLC
Practice addresses (Care Compare)
2702 Farrell Rd
Sanford, NC 27330-6505
Phone (919) 776-9602
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051012000705 | NC | Practitioner - Nurse Practitioner | 7517982168 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NM Pacs 2 LLC | Current |
Accepting new patients | |
| Inpatient Consultants of North Carolina, PC | Nurse Practitioner | Current |
Accepting new patients |
| Inpatient Consultants of North Carolina, PC | Nurse Practitioner | Current |
Accepting new patients |
| CS Pacs 3 Southeast, LLC | Current |
Accepting new patients | |
| Carepartners HHA, LLLP | Past | Accepting new patients |
Locations
90 Southside Ave
Ste 300
Asheville, NC 28801
Phone (828) 210-2046
90 Southside Ave
Ste 350
Asheville, NC 28801
Phone (864) 412-0446
707 N Elm St
High Point, NC 27262
Phone (336) 885-0141
600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100
204 E Old Highway 74
Monroe, NC 28112
Phone (704) 283-3066
2702 Farrell Rd
Sanford, NC 27330
Phone (919) 608-9123
179 Combs St
Sparta, NC 28675
Phone (336) 372-2441
70 Oak St
Tryon, NC 28782
Phone (828) 859-9161
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5000950 | NC | |
| Gerontology Nurse Practitioner | 363LG0600X | 5000950 | NC | Yes |
Addresses
Primary practice location
90 Southside Ave
Suite 350
Asheville, NC 28801-4160
Mailing address
90 Southside Ave
Suite 350
Asheville, NC 28801-4160
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063468601 | Medicaid | NC | |
| 1604W | Other | NC | BCBSNC |
Other providers in Asheville, NC
- Susan Pattillo Branch
- Michele Mise Brandon
- John Conrad Brandt
- Pamela K Branning
- Anastasia Rose Branstetter
- Phillip Michael Brantley
- Andrea N Branton
- Jerod Braschler
- Jessica Anne Braun-Ferris
- Simon D Braun
All providers in Asheville, NC · Gerontology Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.