Elizabeth Esmeralda Perez, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001014201 Issued in NC

Practice address

70 Crepe Myrtle Drive Suite 104
Benson, NC 27504

Phone

(704) 930-5638

NPI assigned

May 7, 2024

Sex

Female

Sole proprietor

No

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.

• Tri County Community Health Council Inc

  • Federally Qualified Health Center (FQHC)
  • Four Oaks, NC
  • NPI 1427087709

  NC

  Medicare reassignment Care Compare group
• Tri County Community Health Council Inc

  • Federally Qualified Health Center (FQHC)
  • Smithfield, NC
  • NPI 1407039324
  Care Compare group NPD
• Tri County Community Health Council Inc

  • Federally Qualified Health Center (FQHC)
  • Shallotte, NC
  • NPI 1003218439
  Care Compare group
• Tri County Community Health Council Inc

  • Federally Qualified Health Center (FQHC)
  • Dublin, NC
  • NPI 1124158043
  Care Compare group
• Tri County Community Health Council Inc

  • Federally Qualified Health Center (FQHC)
  • Dunn, NC
  • NPI 1225584287
  Care Compare group
• Tri County Community Health Council Inc

  • Community/Retail Pharmacy
  • Tar Heel, NC
  • NPI 1295903656
  Care Compare group
• Tri County Community Health Council Inc

  • Federally Qualified Health Center (FQHC)
  • Benson, NC
  • NPI 1376899252
  Care Compare group
• Tri County Community Health Council Inc

  • Federally Qualified Health Center (FQHC)
  • Willard, NC
  • NPI 1396768776
  Care Compare group
• Tri County Community Health Council Inc

  • Federally Qualified Health Center (FQHC)
  • Four Oaks, NC
  • NPI 1700054574
  Care Compare group
• Tri County Community Health Council Inc

  • Federally Qualified Health Center (FQHC)
  • Tar Heel, NC
  • NPI 1770506149
  Care Compare group
• Tri County Community Health Council Inc

  • Federally Qualified Health Center (FQHC)
  • Four Oaks, NC
  • NPI 1932867199
  Care Compare group
• Tri County Community Health Council Inc

  • Federally Qualified Health Center (FQHC)
  • Harrells, NC
  • NPI 1942223318
  Care Compare group

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri County Community Health Council Inc 29 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 21, 2024.

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1124876016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 CREPE MYRTLE DRIVE SUITE 104",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "27504",
            "telephone_number": "704-930-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 CREPE MYRTLE DRIVE SUITE 104",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "27504",
            "telephone_number": "704-930-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ELIZABETH",
        "middle_name": "ESMERALDA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001014201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Personal Home Care Specialists Inc.
• Personal Home Care Specialists Inc.
• Tiffany Rae Pinnix, DDS
• April G Pope, PA-C
• Primary Medical Care at the Crossroads, PLLC

• All providers in Benson, NC
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.