Individual provider Active NPI

Eric William Starr, PA-C

  • Physician Assistant
  • Huntersville, NC
National Provider Identifier
1174625024
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103198 Issued in NC
Practice address
10030 Gilead Rd
Suite 360
Huntersville, NC 28078-7545
Phone
(704) 316-5560
Fax
(704) 316-5561
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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 103198 NC Primary

Addresses

Primary practice location

10030 Gilead Rd
Suite 360
Huntersville, NC 28078-7545

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-5560

Other identifiers 3

IdentifierTypeStateIssuer
1174625024MedicaidNC
0579PAOtherNCSC MEDICAID
8101189MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address estarr194989@direct.novanthealth.org

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
I20070416000443 NC Practitioner - Physician Assistant 0042315376 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

Practice addresses (Care Compare)

14330 Oakhill Park LN
Suite 115
Huntersville, NC 28078-3479
Phone (704) 316-1265

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

5145 Sellers Rd
Shallotte, NC 28470-3405

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103198NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc CurrentSince Feb 14, 2011 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 15, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Nov 5, 2014 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Nov 5, 2014 Accepting new patients
Caromont Medical Group Inc Current Accepting new patients
Caromont Medical Group Inc CurrentSince Feb 14, 2011 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 19, 2019 Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Union Urgent Care LLC Past Accepting new patients
Cabarrus Urgent Care Past Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients

Locations

1220 Spruce St
Belmont, NC 28012
Phone (704) 825-5333

517 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 384-1406

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

200 Greenwich Rd
Charlotte, NC 28211
Phone (704) 384-8680

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

10816 Black Dog Ln
Ste 160
Charlotte, NC 28214
Phone (704) 316-3970

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

5325 Vinning St NW
Ste 101
Concord, NC 28027
Phone (704) 316-1040

7752 Gateway Ln NW
Ste 100
Concord, NC 28027
Phone (704) 316-4950

9955 Poplar Tent Rd
Concord, NC 28027
Phone (704) 316-1161

19485 Old Jetton Rd
Ste 100
Cornelius, NC 28031
Phone (704) 316-5170

19830 Zion Ave
Cornelius, NC 28031
Phone (704) 384-1782

1895 Hoffman Rd
#A
Gastonia, NC 28054
Phone (704) 865-1749

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

16525 Holly Crest Ln
Ste 150
Huntersville, NC 28078
Phone (704) 384-1725

14330 Oakhill Park Ln
Ste 115
Huntersville, NC 28078
Phone (704) 316-1265

9930 Kincey Ave
Ste 210
Huntersville, NC 28078
Phone (704) 316-3492

14330 Oakhill Park Ln
Ste 200B
Huntersville, NC 28078
Phone 7043161265 ext. 6856

10030 Gilead Rd
Ste 360
Huntersville, NC 28078
Phone (704) 316-5560

6909 Prosperity Church Rd
Huntersville, NC 28078
Phone (704) 316-1830

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: estarr194989@direct.novanthealth.org

Organizations & group practices 17

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.

View all 17

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1174625024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-316-5560",
            "fax_number": "704-316-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10030 GILEAD RD",
            "address_2": "SUITE 360",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787545",
            "telephone_number": "704-316-5560",
            "fax_number": "704-316-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARR",
        "first_name": "ERIC",
        "middle_name": "WILLIAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2020-10-28",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174625024",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID",
            "identifier": "0579PA",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8101189",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "estarr194989@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "10030 Gilead Rd",
            "address_2": "Suite 360",
            "city": "Huntersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280787545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.