Jaclyn Bates
Individual provider Active NPI Physician Assistant · Rockingham, NC
NPI 1184994238 · NPPES record last updated Oct 5, 2022
Key facts
- NPI
- 1184994238
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0010-03285 (NC)
- Practice address
- 921 S Long Dr Ste 101
Rockingham, NC 28379-4874 - Phone
- (910) 417-3850
- NPI assigned
- Jan 6, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- FHPG LLC
Practice addresses (Care Compare)
7473-B Hwy 22
Whispering Pines, NC 28327
Phone (910) 215-5115
921 S Long Dr
Suite 101
Rockingham, NC 28379-4874
Phone (910) 417-3850
Hospital & facility affiliations
- First Health Home Care - Richmond
- Firsthealth Moore Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.84 of 100
- Quality
- 79.14
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 80.32
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120228000254 | NC | Practitioner - Physician Assistant | 2062670680 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FHPG, LLC | Current |
Accepting new patients | |
| FHPG, LLC | Current |
Accepting new patients | |
| FHPG, LLC | Past | Accepting new patients | |
| FHPG, LLC | Past | Accepting new patients |
Locations
46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782
921 S Long Dr
Ste 101
Rockingham, NC 28379
Phone (910) 417-3850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-03285 | NC | Yes |
Addresses
Primary practice location
921 S Long Dr Ste 101
Rockingham, NC 28379-4874
Mailing address
921 S Long Dr Ste 101
Rockingham, NC 28379-4874
Other providers in Rockingham, NC
- Melanie Moneik Baldwin
- Alvin Floyd Barber Jr.
- Charlene Barrett
- Laurin Nicole Barrington
- Nikki M. Bass
- Tawanda L Bennett
- Rhonda Carol Benton
- Courtney Pope Blake
- Charlotte Boone
- Bostic Counseling & Consulting
All providers in Rockingham, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.