Andrea Mae Dorsch Doub, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-15009 Issued in NC

Practice address

607 S Main St Unit E
King, NC 27021-9016

Phone

(336) 983-9111

NPI assigned

Jan 23, 2025

Last updated

Jan 30, 2025By the provider in NPPES

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

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

University of Pittsburgh School of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RPG Associates PLLCGroup PAC ID 8628465846, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: andrea.mae.doub.1@29598.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/29598/brand/1/csg/1/fhir/r4

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.

• RPG Associates PLLC

  dba Cardinal Urgent Care

  • Urgent Care Clinic/Center
  • King, NC
  • NPI 1386314193
  Medicare reassignment Care Compare group
• The McInnis Clinic PLLC

  • Internal Medicine Physician
  • Reidsville, NC
  • NPI 1114447083
  NPD (past)

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1073325445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WOLF ROCK RD",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "270525754",
            "telephone_number": "336-407-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S MAIN ST UNIT E",
            "city": "KING",
            "state": "NC",
            "postal_code": "270219016",
            "telephone_number": "336-983-9111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1123 S Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Reidsville",
            "state": "NC",
            "postal_code": "273205340",
            "country_code": "US",
            "telephone_number": "336-342-4286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUB",
        "first_name": "ANDREA MAE",
        "middle_name": "DORSCH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-15009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Doctors Vision Center OD PA
• Gregory Ray Dunkelberger, PA C
• Eckerd Corporation (Rite AId Pharmacy 11313)
• Edward Bell, DDS, PA
• Jessica Agatha Edwards, M.D.
• Noah Ethan Eggers, MS, LCAS-A

• Medical Physician Assistant in King, NC
• Providers in King, 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 Jan 30, 2025; 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.