Rahwa T Sebhatu, PA-C
Individual provider Active NPI Medical Physician Assistant · Spring Lake, NC
NPI 1083372049 · NPPES record last updated Dec 7, 2021
Key facts
- NPI
- 1083372049
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 0010-11460 (NC)
- Practice address
- 6750 Overhills Rd
Spring Lake, NC 28390-8872 - Phone
- (910) 436-2900
- Fax
- (910) 436-0588
- NPI assigned
- Dec 7, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220419002466 | NC | Practitioner - Physician Assistant | 5698162782 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-11460 | NC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Opportunities Industrialization Center, Inc. | Current |
Accepting new patients | |
| First Choice Community Health Centers | Past |
Accepting new patients | |
| First Choice Community Health Centers | Past |
Accepting new patients |
Locations
1041 Noell Ln
#B
Rocky Mount, NC 27804
Phone (252) 962-3450
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0010-11460 | NC | Yes |
Addresses
Primary practice location
6750 Overhills Rd
Spring Lake, NC 28390-8872
Mailing address
2501 Batterhayes Rd Apt 201
Raleigh, NC 27615-2452
Phone (510) 302-7625
Other practice location 1
40 Autumn Fern Trl
Lillington, NC 27546-5155
Phone (910) 364-0970
Other practice location 2
985 Nc 87 S
Cameron, NC 28326-7520
Phone (919) 499-9422
Other providers in Spring Lake, NC
- Sandhills Counseling Associates, PLLC
- Jenny Lee Satsatin
- Rhonda Faye Scales
- Jennifer Ann Schmidt
- Kayle Schwarzer
- Yolaisi Seem
- Julia Elizabeth Shackelford
- Travis Sean Shafer
- Paul Sharpless
- Emeeyon Shaw
All providers in Spring Lake, NC · Medical Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.