Charity Elizabeth Dolphens, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-03721 Issued in NC

Practice address

300 S Sterling St
Morganton, NC 28655-3569

Phone

(828) 438-9004

Fax

(828) 430-8197

NPI assigned

Oct 7, 2010

Last updated

Aug 31, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1134439268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S STERLING ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553569",
            "telephone_number": "828-438-9004",
            "fax_number": "828-430-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLPHENS",
        "first_name": "CHARITY",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NCC062A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Dillow, PA
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• Jon Andrew Dominique, D.C.
• Richard Donlavage, MA
• Corinne Dooley, NP
• Kenneth Doyle, M.A., LCMHC, NCC

• Physician Assistant in Morganton, NC
• Providers in Morganton, 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 Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.