Individual provider Active NPI

Jeanne Catherine Pierce, PA

  • Physician Assistant
  • Troutman, NC
National Provider Identifier
1144260233
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13058 Issued in NC
Practice address
154 S Main St
Troutman, NC 28166-0200
Phone
(704) 528-9903
Fax
(704) 528-4192
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 007318 NY
Physician Assistant 363A00000X 0010-13058 NC Primary

Addresses

Primary practice location

154 S Main St
Troutman, NC 28166-0200

Mailing address

PO Box 1845
Statesville, NC 28687-1845
Phone (704) 873-4277

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230420002059 NC Practitioner - Physician Assistant 8325109143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Healthcare PAGroup PAC ID 9638070683, 226 clinicians

Practice addresses (Care Compare)

129 Sherlock Dr
Statesville, NC 28625-1916
Phone (704) 838-8245

138 Sherlock Dr
Statesville, NC 28625-1916
Phone (704) 873-1021

1404 Fern Creek Dr
Statesville, NC 28625-9376
Phone (704) 978-4025

142 Sherlock Dr
Statesville, NC 28625-1916
Phone (704) 838-8256

1424 B Fern Creek Dr
Statesville, NC 28625-9376
Phone (704) 872-0224

1446 Fern Creek Dr
Statesville, NC 28625-9376
Phone (704) 873-9617

150 Fairview Rd
Suite 200
Mooresville, NC 28117-9507
Phone (704) 235-6200

152 Sherlock Dr
Statesville, NC 28625-1916
Phone (704) 838-8210

208 Old Mocksville Rd
Statesville, NC 28625-1930
Phone (704) 878-2011

357 Williamson Rd
Mooresville, NC 28117-5935
Phone (704) 664-7328

359 Williamson Rd
Mooresville, NC 28117-5935
Phone (704) 235-1838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Healthcare, P.a. CurrentSince Jun 5, 2023 Accepting new patients
Piedmont Healthcare, PA CurrentSince Jun 5, 2023 Accepting new patients

Locations

208 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-8215

650 Signal Hill Drive Ext
Statesville, NC 28625
Phone (704) 873-4277

154 S Main St
Troutman, NC 28166
Phone (704) 528-9903

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1144260233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1845",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286871845",
            "telephone_number": "704-873-4277",
            "fax_number": "704-978-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 S MAIN ST",
            "city": "TROUTMAN",
            "state": "NC",
            "postal_code": "281660200",
            "telephone_number": "704-528-9903",
            "fax_number": "704-528-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "JEANNE",
        "middle_name": "CATHERINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "007318",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troutman, NC

Sources for this page

Verify at the official NPI Registry.