Heather Lyles Goldfuss, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-01344 Issued in NC

Practice address

4700 E Oak Island Dr
Oak Island, NC 28465-5257

Phone

(910) 278-6416

Fax

(855) 763-1167

NPI assigned

Dec 18, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Quickcare Family Practice, PLLCGroup PAC ID 0840682340, 107 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Carolina Quickcare Family Practice, PLLC

  • Internal Medicine Physician
  • Biscoe, NC
  • NPI 1881360899
  Medicare reassignment Care Compare group
• Chester Hma Physician Management Inc

  • Family Medicine Physician
  • Chester, SC
  • NPI 1386757177
  NPD (past)
• Chester Medical Group, LLC

  • Family Medicine Physician
  • Chester, SC
  • NPI 1174753024
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1063575249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613038",
            "telephone_number": "910-457-3800",
            "fax_number": "910-457-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 E OAK ISLAND DR",
            "city": "OAK ISLAND",
            "state": "NC",
            "postal_code": "284655257",
            "telephone_number": "910-278-6416",
            "fax_number": "855-763-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDFUSS",
        "first_name": "HEATHER",
        "middle_name": "LYLES",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-01344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1063575249",
            "identifier": "1063575249",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey H Ezzelle, RPH
• Karen A Fairfield, DC
• Sidney Ray Fortney, MD
• Roger Dean Gates, CRNA
• Lorraine Marie Gauthier, MD
• Virginia I Gorman, LCAS
• Darren W Harrington, D.D.S.
• Patricia Jean Hawkins, COTA/L
• Kelly Lynn Howard, PHARMD
• Mary Lou Hurlburt

• Medical Physician Assistant in Oak Island, NC
• Providers in Oak Island, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.