Active NPI
Ashley Blaire Slate, PA-C
- Physician Assistant
- Goldsboro, NC
National Provider Identifier
1104071034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2604 Medical Office PL
Goldsboro, NC 27534-9417 - Phone
- (919) 580-0004
- Fax
- (919) 580-9224
- NPI assigned
- Nov 19, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 001001606 | NC | |
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
2604 Medical Office PL
Goldsboro, NC 27534-9417
Mailing address
2604 Medical Office PL
Goldsboro, NC 27534-9417
Phone (919) 580-0004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001001606 | Other | NC | NC MEDIAL LICENSE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081231000476 | NC | Practitioner - Physician Assistant | 6800958794 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Immediate Care of Goldsboro PLLCMohamed and Associates Urology Center PA
Practice addresses (Care Compare)
2604 Medical Office PL
Goldsboro, NC 27534-9417
Phone 9195800004109
507 N Brightleaf Blvd
Suite 205
Smithfield, NC 27577-4405
Phone (919) 934-5955
Hospital & facility affiliations
- Johnston Health
- Rex Hospital
- Unc Health Care Wayne
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.58 of 100
- Quality
- 75.66
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001001606 | NC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Emergency Physicians PA | Current | Accepting new patients | |
| Wake Emergency Physicians PA | Current | Accepting new patients |
Locations
2700 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 731-6060
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
Interoperability endpoints
- aslate214462@direct.unc.nchie.net
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
- Goldsboro, NC
- NPI 1164418232
NC
-
- Emergency Medicine Physician
- Raleigh, NC
- NPI 1790736973
NC
-
- Emergency Medicine Physician
- Cary, NC
- NPI 1043251960
-
- Emergency Medicine Physician
- Goldsboro, NC
- NPI 1619758018
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Smithfield, NC
- NPI 1619911104
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1104071034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2604 MEDICAL OFFICE PL",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349417",
"telephone_number": "919-580-0004",
"fax_number": "919-580-9224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2604 MEDICAL OFFICE PL",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349417",
"telephone_number": "919-580-0004",
"fax_number": "919-580-9224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATE",
"first_name": "ASHLEY",
"middle_name": "BLAIRE",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-19",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "001001606",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC MEDIAL LICENSE",
"identifier": "001001606",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.