Active NPI
Faith Farris, PA
- Physician Assistant
- Shallotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 5272 Ocean Hwy W
Shallotte, NC 28470-4006 - Phone
- (910) 251-9944
- Fax
- (910) 763-4666
- NPI assigned
- Jul 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
5272 Ocean Hwy W
Shallotte, NC 28470-4006
Mailing address
PO Box 23329
New York, NY 10087-3329
Other practice location 1
1099 Medical Center Dr Ste 100A
Wilmington, NC 28401-7367
Phone (910) 251-9944
Other practice location 2
1099 Medical Center Dr
Wilmington, NC 28401-7346
Phone (910) 251-9944
Other practice location 3
308 S Bennett St
Burgaw, NC 28425-5048
Phone (910) 251-9944
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Duke University School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1099 Medical Ctr Dr
Unit 200300
Wilmington, NC 28401-7346
Phone (910) 251-9944
308 S Bennett St
Burgaw, NC 28425-5048
Phone (910) 251-9944
4201 Lake Boone TRL
Suite 200
Raleigh, NC 27607-7511
Phone (919) 782-2152
5272 Ocean Hwy W
Shallotte, NC 28470-4006
Phone (910) 251-9944
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Arundel Dermatology Affiliates PC | Past | Accepting new patients |
Interoperability endpoints
- ffarris@aadermaffiliates.emadirect.md
Organizations & group practices 2
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.
-
- Specialist
- Raleigh, NC
- NPI 1568415586
-
- Dermatology Physician
- Hunt Valley, MD
- NPI 1083200794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1124865100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23329",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100873329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5272 OCEAN HWY W",
"city": "SHALLOTTE",
"state": "NC",
"postal_code": "284704006",
"telephone_number": "910-251-9944",
"fax_number": "910-763-4666"
}
],
"practiceLocations": [
{
"address_1": "1099 Medical Center Dr Ste 100A",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284017367",
"country_code": "US",
"telephone_number": "910-251-9944",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1099 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284017346",
"country_code": "US",
"telephone_number": "910-251-9944",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "308 S Bennett St",
"address_purpose": "LOCATION",
"city": "Burgaw",
"state": "NC",
"postal_code": "284255048",
"country_code": "US",
"telephone_number": "910-251-9944",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARRIS",
"first_name": "FAITH",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-09",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shallotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.