Individual provider Active NPI

Sara Carter Spencer, PA-C

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1063475200
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103072 Issued in NC
Practice address
6161 Lake Brandt Rd Unit B
Greensboro, NC 27455-8415
Phone
(336) 643-5800
Fax
(336) 643-7474
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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 103072 NC Primary

Addresses

Primary practice location

6161 Lake Brandt Rd Unit B
Greensboro, NC 27455-8415

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

3833 High Point Rd
Greensboro, NC 27407-4649
Phone (336) 852-7530

Other names 1

  • Sara C Parham Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SSPENCER4887@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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040113000691 NC Practitioner - Physician Assistant 3476453507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

6161 Lake Brandt Rd
Unit B
Greensboro, NC 27455-8415
Phone (336) 643-5800

Hospital & facility affiliations

  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103072NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group LLC CurrentSince Dec 15, 2012 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 15, 2012 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Carolina Medicorp Enterprises, LLC Past Accepting new patients

Locations

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

1028 Lee Ann Dr NE
Ste 100
Concord, NC 28025
Phone (704) 262-3338

6161 Lake Brandt Rd
Unit B
Greensboro, NC 27455
Phone (336) 643-5800

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

2000 Frontis Plaza Blvd
Ste 200
Winston Salem, NC 27103
Phone (336) 277-2435

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 5

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 1

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1063475200",
    "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": "6161 LAKE BRANDT RD UNIT B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274558415",
            "telephone_number": "336-643-5800",
            "fax_number": "336-643-7474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3833 High Point Rd",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274074649",
            "country_code": "US",
            "telephone_number": "336-852-7530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "SARA",
        "middle_name": "CARTER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SSPENCER4887@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "3833 High Point Rd",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274074649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "PARHAM",
            "middle_name": "C",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.