Valjoy Beach Care, P.a.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

VALJOY BEACH CARE, P.A.

Practice address

13500 NC Highway 50 Ste 104
Surf City, NC 28445-7935

Phone

(910) 803-2025

NPI assigned

May 29, 2014

Last updated

Mar 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandy Margaret Mueller Brady, PA-CNPI 1205879657

Title

Ceo

Phone

(910) 803-2025

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandy Margaret Mueller-Brady, PA-C

  • Physician Assistant
  • Surf City, NC
  • NPI 1205879657
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1154733707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 NC HIGHWAY 50 STE 104",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284457935",
            "telephone_number": "910-803-2025",
            "fax_number": "910-803-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 NC HIGHWAY 50 STE 104",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284457935",
            "telephone_number": "910-803-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALJOY BEACH CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "MUELLER BRADY",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-803-2025",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michelle Ottey Urban, PHARMD, RPH
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• Samantha Lesley Watson, PT, DPT, MBA
• Jessica Lynne White, MSW, LCSW, RYT 200

• Physician Assistant in Surf City, NC
• Providers in Surf City, 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 Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.