Individual provider Active NPI

Deeanna Lowery Wilson, PA

  • Physician Assistant
  • Murphy, NC
National Provider Identifier
1093293177
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
183 Ledford St
Murphy, NC 28906-6213
Phone
(828) 837-4712
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NC Primary

Addresses

Primary practice location

183 Ledford St
Murphy, NC 28906-6213

Mailing address

183 Ledford St
Murphy, NC 28906-6213
Phone (828) 837-4712

Other names 1

  • Deeanna Elisabeth Lowery Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190401001502 NC Practitioner - Physician Assistant 3375884315 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1269 US Hwy 221a
Forest City, NC 28043-5921
Phone (828) 657-5371

288 S Ridgecrest Ave
Rutherfordton, NC 28139-2838
Phone (828) 286-5516

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Murphy Medical Center, Inc. CurrentSince Sep 9, 2019 Accepting new patients
DLP Rutherford Physician Practices LLC CurrentSince Jan 1, 2023 Accepting new patients
Murphy Medical Center, Inc. CurrentSince Sep 9, 2019 Accepting new patients
DLP Rutherford Physician Practices LLC Physician Assistant Current Accepting new patients
Goshen Medical Center Incorporated Current Accepting new patients
DLP Rutherford Physician Practices LLC Physician Assistant Past Accepting new patients

Locations

1269 US Highway 221A
Forest City, NC 28043
Phone (828) 657-5371

75 Medical Park Ln
Ste D
Murphy, NC 28906
Phone (828) 835-4741

183 Ledford St
Murphy, NC 28906
Phone (828) 837-4712

145 Medical Park Ln
Ste L
Murphy, NC 28906
Phone (828) 349-3376

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

Interoperability endpoints

  • Direct secure messaging: deeanna.wilson.1@9573.direct.athenahealth.com
  • Direct secure messaging: dwilson@goshenmedical.cloudcraftdirect.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1093293177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 LEDFORD ST",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066213",
            "telephone_number": "828-837-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 LEDFORD ST",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066213",
            "telephone_number": "828-837-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DEEANNA",
        "middle_name": "LOWERY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEEANNA",
            "last_name": "LOWERY",
            "middle_name": "ELISABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murphy, NC

Sources for this page

Verify at the official NPI Registry.