Individual provider Active NPI

Elizabeth Parker McCormack, PA-C

  • Physician Assistant
  • Wilmington, NC
National Provider Identifier
1154527182
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-00937 Issued in NC
Practice address
2716 Ashton Drive
Wilmington, NC 28412
Phone
(910) 332-3800
Fax
(910) 332-3833
NPI assigned
Jun 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-00937 NC Primary

Addresses

Primary practice location

2716 Ashton Drive
Wilmington, NC 28412

Mailing address

2716 Ashton Drive
Wilmington, NC 28412
Phone (910) 332-3800

Other names 1

  • Elizabeth Ann Parker Former name

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
I20070829000750 NC Practitioner - Physician Assistant 6305939851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

2716 Ashton Dr
Wilmington, NC 28412-2489
Phone (910) 332-3800

3787 Shipyard Blvd
Wilmington, NC 28403-6148
Phone (910) 332-3800

5160 Ocean Hwy W
Shallotte, NC 28470-4012
Phone (910) 332-3800

799 Doctors CT
Roxboro, NC 27573-4571
Phone (336) 599-4079

8115 Market St
Suite 108
Wilmington, NC 28411-8429
Phone (910) 332-3800

Hospital & facility affiliations

  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-00937NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA Physician Assistant CurrentSince Jul 1, 2016 Accepting new patients
Emergeortho PA CurrentSince Jul 1, 2016 Accepting new patients

Locations

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

2716 Ashton Dr
Wilmington, NC 28412
Phone (910) 332-1534

Interoperability endpoints

  • Direct secure messaging: elizabeth.mccormack.1@847.direct.athenahealth.com
  • Direct secure messaging: emccormack786293@direct.novanthealth.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1154527182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 ASHTON DRIVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28412",
            "telephone_number": "910-332-3800",
            "fax_number": "910-332-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 ASHTON DRIVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28412",
            "telephone_number": "910-332-3800",
            "fax_number": "910-332-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "ELIZABETH",
        "middle_name": "PARKER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "PARKER",
            "middle_name": "ANN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.