Individual provider Active NPI

Margaret Baura, PA-C

  • Physician Assistant
  • Rock Hill, SC
National Provider Identifier
1194158147
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2780 Issued in SC
Practice address
200 S Herlong Ave Ste a
Rock Hill, SC 29732-1182
Phone
(803) 328-1864
Fax
(803) 328-1865
NPI assigned
Aug 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 006884 GA
Physician Assistant 363A00000X 2780 SC Primary

Addresses

Primary practice location

200 S Herlong Ave Ste a
Rock Hill, SC 29732-1182

Mailing address

6035 Fairview Rd
Charlotte, NC 28210-3256
Phone (704) 295-3000

Other identifiers 1

IdentifierTypeStateIssuer
1692PAMedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbaura17554@direct.ceenta.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20171107001667 SC Practitioner - Physician Assistant 5496998007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 S Herlong a
Rock Hill, SC 29732-1182
Phone (803) 328-1864

838 W Meeting St C
Lancaster, SC 29720-6233
Phone (803) 286-8626

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Eye Ear Nose & Throat Associates, PA CurrentSince Sep 4, 2017 Accepting new patients
Charlotte Eye Ear Nose & Throat Associates, P.a. Physician Assistant CurrentSince Sep 4, 2017 Accepting new patients
Charlotte Eye Ear Nose & Throat Associates, PA Past Accepting new patients

Locations

6035 Fairview Rd
Charlotte, NC 28210
Phone (336) 718-2078

601 Sutton Rd S
Ste 201
Fort Mill, SC 29715
Phone (803) 328-1864

838 W Meeting St
Ste C
Lancaster, SC 29720
Phone (803) 286-8626

200 Herlong Ave S
Ste A
Rock Hill, SC 29732
Phone (803) 324-1028

Interoperability endpoints

  • Direct secure messaging: mbaura17554@direct.ceenta.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1194158147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103256",
            "telephone_number": "704-295-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S HERLONG AVE STE A",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321182",
            "telephone_number": "803-328-1864",
            "fax_number": "803-328-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAURA",
        "first_name": "MARGARET",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "006884",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1692PA",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbaura17554@direct.ceenta.com",
            "affiliation": "N",
            "address_1": "200 S Herlong Ave Ste A",
            "city": "Rock Hill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297321182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.