Active NPI
John William Swint III, PA-C
- Physician Assistant
- Matthews, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-03056
- Practice address
- 10806 Monroe Rd Unit B
Matthews, NC 28105-7305 - Phone
- (980) 290-1297
- Fax
- (833) 499-1786
- NPI assigned
- Jun 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 005055 | GA | |
| Physician Assistant | 363A00000X | 0010-03056 | NC | Primary |
Addresses
Primary practice location
10806 Monroe Rd Unit B
Matthews, NC 28105-7305
Mailing address
1332 Yellow Springs Dr
Fort Mill, SC 29707-2546
Phone (478) 256-5696
Other practice location 1
280 General Daniel Ave N
Danielsville, GA 30633-6906
Phone (706) 245-7371
Other practice location 2
7940 Williams Pond Ln Ste 150
Charlotte, NC 28277-8409
Phone (704) 752-7779
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-03056 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastonia Physician Services, PLLC | Current | Accepting new patients | |
| Ballantyne Emergency Physicians PLLC | Current | Accepting new patients | |
| Reddy Urgent Care - Royston LLC | Past | Accepting new patients |
Locations
11516 Providence Rd
Charlotte, NC 28277
Phone (704) 667-0370
2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662
Interoperability endpoints
- jswint500463@carolinashealthcaresystem.direct-ci.com
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1164052726
-
- Emergency Medicine Physician
- Gastonia, NC
- NPI 1316367691
-
- Emergency Medicine Physician
- Matthews, NC
- NPI 1235728031
-
- Emergency Medicine Physician
- Dunn, NC
- NPI 1477508836
-
- Emergency Medicine Physician
- Albemarle, NC
- NPI 1134391758
-
- Emergency Medicine Physician
- Belmont, NC
- NPI 1104644004
-
- Urgent Care Clinic/Center
- Royston, GA
- NPI 1093847444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1073716007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1332 YELLOW SPRINGS DR",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297072546",
"telephone_number": "478-256-5696",
"fax_number": "833-499-1786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10806 MONROE RD UNIT B",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281057305",
"telephone_number": "980-290-1297",
"fax_number": "833-499-1786"
}
],
"practiceLocations": [
{
"address_1": "280 General Daniel Ave N",
"address_purpose": "LOCATION",
"city": "Danielsville",
"state": "GA",
"postal_code": "306336906",
"country_code": "US",
"telephone_number": "706-245-7371",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7940 Williams Pond Ln Ste 150",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282778409",
"country_code": "US",
"telephone_number": "704-752-7779",
"fax_number": "704-752-7775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWINT",
"first_name": "JOHN",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-07",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "005055",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-03056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.