Individual provider Active NPI

Christa Jade Canto, PA-C

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1205653466
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1224402 Issued in NC
Practice address
445 Dolley Madison Rd Ste 100
Greensboro, NC 27410-5166
Phone
(336) 649-9000
NPI assigned
Sep 20, 2024
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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 1224402 NC Primary

Addresses

Primary practice location

445 Dolley Madison Rd Ste 100
Greensboro, NC 27410-5166

Mailing address

141 Huron CT
Winston Salem, NC 27103-9807
Phone (410) 251-6333

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
I20241011003090 NC Practitioner - Physician Assistant 4981136256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Apogee Behavioral Medicine PCGroup PAC ID 6204218357, 64 clinicians

Practice addresses (Care Compare)

445 Dolley Madison Rd
Suite 100
Greensboro, NC 27410-5166
Phone (336) 967-6596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1224402NCMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: apogeebehavioralmedicine.christacanto@153105.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1205653466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 HURON CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271039807",
            "telephone_number": "410-251-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 DOLLEY MADISON RD STE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274105166",
            "telephone_number": "336-649-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTO",
        "first_name": "CHRISTA",
        "middle_name": "JADE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "1224402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.