Jerry Anderson Heath, PA-C
Individual provider Active NPI Physician Assistant · Hays, NC
NPI 1104860774 · NPPES record last updated Dec 1, 2010
Key facts
- NPI
- 1104860774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 100336 (NC)
- Practice address
- 5229 Rock Creek Rd
Hays, NC 28635-9267 - Phone
- (336) 696-2711
- Fax
- (336) 696-2829
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100336 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/26386/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 100336 | NC | Yes |
Addresses
Primary practice location
5229 Rock Creek Rd
Hays, NC 28635-9267
Mailing address
5229 Rock Creek Rd
Hays, NC 28635-9267
Phone (336) 696-2711
Other providers in Hays, NC
- Heather Brown
- Carenet, Inc
- Jennifer Childress
- Daymark Recovery Services Inc
- Laura Miles Hubbard
- Hugh Chatham Memorial Hospital
- Mountain View Medical Center
- Julie Marie Perry
- Kelsey Rice
All providers in Hays, NC · 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 1, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.