Jeremiah Powers, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-09738 Issued in NC

Practice address

381 Ruin Creek Rd
Henderson, NC 27536-2932

Phone

(252) 430-0666

NPI assigned

Mar 3, 2020

Sex

Male

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

Specialty

Physician Assistant

Education

Brody School of Medicine at East Carolina University, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vance Family Medicine PAGroup PAC ID 9436053014, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Maria Parham Medical Center Hospital, Henderson, NC, CCN 340132

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: jeremiahpowers@vfmpa.allscriptsdirect.net

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.

• Vance Family Medicine, PA

  • Rural Health Clinic/Center
  • Henderson, NC
  • NPI 1619938479
  Medicare reassignment Care Compare group

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

• DLP Maria Parham Medical Center LLC

  • General Acute Care Hospital
  • Henderson, NC
  • NPI 1164707725
  Care Compare affiliation
• DLP Maria Parham Medical Center LLC

  • Psychiatric Hospital Unit
  • Louisburg, NC
  • NPI 1689166605
  Care Compare affiliation

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1104451830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 CASCADE HILLS LN",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872147",
            "telephone_number": "919-632-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 RUIN CREEK RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362932",
            "telephone_number": "252-430-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "JEREMIAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Positive Outlook Family Services
• Positive Outlook Service
• Positive Outlook Services, LLC
• Positiveoutlook Services
• Nakisha Powell, RN
• Precious Cornerstones Supportive Services LLC
• Premier Womens Health Professionals, PA
• Primecare Network, Inc.
• Kyrie Pringle
• Private Diagnostic Clinic, PLLC

• Physician Assistant in Henderson, NC
• Providers in Henderson, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.

Verify at the official NPI Registry.