Andrea M. Dunlap, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001002787 Issued in NC

Practice address

1141 N Road St
Suite L
Elizabeth City, NC 27909-3326

Phone

(252) 335-0803

Fax

(252) 331-1796

NPI assigned

Jun 8, 2006

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrea.dunlap@foothillspsychshelby.direct.kno2fy.com

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.

• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment NPD
• Foothills Consulting Associates LLC

  • Psychiatry Physician
  • Shelby, NC
  • NPI 1770624637
  Medicare reassignment
• Psychiatric Services of Carolinas, P.C.

  • Specialist
  • Gastonia, NC
  • NPI 1710012174
  Medicare reassignment
• Vidant Medical Group LLC

  • Ambulatory Surgical Clinic/Center
  • Kinston, NC
  • NPI 1376049619
  NPD
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1073554663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 SAPPHIRE CT",
            "address_2": "STE 110",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278349075",
            "telephone_number": "252-830-7540",
            "fax_number": "252-752-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 N ROAD ST",
            "address_2": "SUITE L",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093326",
            "telephone_number": "252-335-0803",
            "fax_number": "252-331-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLAP",
        "first_name": "ANDREA",
        "middle_name": "M.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001002787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Christopher Doyle, D.C.
• Mindy M Drew, PHYSICAL THERAPIST
• Anthony C Duarte, MD
• Monifa Dukes, CNM
• Katherine Lynn Dunavant, LPC, NCC
• Dva Healthcare Renal Care Inc
• Dva Healthcare Renal Care Inc
• Kyra Eaddy
• Edward Blease Eadie Jr., M.D.
• Eagle Acquisition VI LLC

• Physician Assistant in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.