Jessica Canaan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-09661 Issued in NC

Practice address

144 Merchants Cir
Hampstead, NC 28443-5260

Phone

(910) 803-0340

NPI assigned

May 11, 2020

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

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Asthma and Allergy Center PAGroup PAC ID 0345144341, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jessica.canaan.p1@direct.caac.nextgenshare.com
• Direct secure messaging: jcanaan1244273@direct.novanthealth.org

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.

• Carolina Asthma and Allergy Center PA

  • Allergy & Immunology Physician
  • Charlotte, NC
  • NPI 1215995444

  SC

  Medicare reassignment Care Compare group
• Carolina Asthma and Allergy Center, PA

  • Allergy & Immunology Physician
  • Rock Hill, SC
  • NPI 1871710855
  NPD (past)

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1164044327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 NUTT ST APT 244",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 MERCHANTS CIR",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284435260",
            "telephone_number": "910-803-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAAN",
        "first_name": "JESSICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burgaw Medical Center, P.C.
• Sharon A Burke, MD
• Cain Connections and Recovery Inc
• Luke Cain
• Patti Leigh Cain, LCSW; LCAS
• Canvas ABA, LLC
• Carolina Healthcare Associates, Inc.
• Carolina Healthcare Associates, Inc.
• Tracy Lynette Carr-Marcel, M.S. CCC-SLP
• Michael Bryan Caveness, M.D.

• Physician Assistant in Hampstead, NC
• Providers in Hampstead, 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 May 11, 2020; 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.