Rahwa T Sebhatu, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-11460 Issued in NC

Practice address

6750 Overhills Rd
Spring Lake, NC 28390-8872

Phone

(910) 436-2900

Fax

(910) 436-0588

NPI assigned

Dec 7, 2021

Last updated

Dec 7, 2021By 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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Opportunities Industrialization Center, Inc

  dba OIC Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Rocky Mount, NC
  • NPI 1922020908
  Medicare reassignment NPD
• Opportunities Industrialization Center, Inc.

  dba OIC Family Medical Center at Community Health Plaza

  • Federally Qualified Health Center (FQHC)
  • Rocky Mount, NC
  • NPI 1750734307
  Medicare reassignment NPD
• First Choice Community Health Centers

  • General Practice Physician
  • Lillington, NC
  • NPI 1083971279
  NPD (past)
• First Choice Community Health Centers

  dba Anderson Creek Medical Center

  • Family Medicine Physician
  • Spring Lake, NC
  • NPI 1902829153
  NPD (past)

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1083372049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 BATTERHAYES RD APT 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152452",
            "telephone_number": "510-302-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 OVERHILLS RD",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283908872",
            "telephone_number": "910-436-2900",
            "fax_number": "910-436-0588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "985 Nc 87 S",
            "address_purpose": "LOCATION",
            "city": "Cameron",
            "state": "NC",
            "postal_code": "283267520",
            "country_code": "US",
            "telephone_number": "919-499-9422",
            "fax_number": "919-498-6752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Autumn Fern Trl",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275465155",
            "country_code": "US",
            "telephone_number": "910-364-0970",
            "fax_number": "910-814-4062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEBHATU",
        "first_name": "RAHWA",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-11460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandhills Counseling Associates, PLLC
• Jenny Lee Satsatin, LMT
• Rhonda Faye Scales
• Jennifer Ann Schmidt, IBCLC
• Kayle Schwarzer
• Yolaisi Seem
• Julia Elizabeth Shackelford, MASSAGE THERAPIST
• Travis Sean Shafer
• Paul Sharpless, PA-C
• Emeeyon Shaw

• Medical Physician Assistant in Spring Lake, NC
• Providers in Spring Lake, 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 Dec 7, 2021; 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.