Individual provider Active NPI

Elaine Alspaugh Fox, PA-C

  • Physician Assistant
  • Kernersville, NC
National Provider Identifier
1215051743
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0101289 Issued in NC
Practice address
1471 Jag Branch Blvd Ste 105
Kernersville, NC 27284-6956
Phone
(336) 277-6430
Fax
(336) 277-6448
NPI assigned
Mar 19, 2007
Last updated
Oct 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 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 0101289 NC Primary

Addresses

Primary practice location

1471 Jag Branch Blvd Ste 105
Kernersville, NC 27284-6956

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 277-6430

Other identifiers 1

IdentifierTypeStateIssuer
3403407MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address efox436705@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101289NCMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: efox436705@direct.novanthealth.org

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1215051743",
    "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": "336-277-6430",
            "fax_number": "336-277-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 JAG BRANCH BLVD STE 105",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272846956",
            "telephone_number": "336-277-6430",
            "fax_number": "336-277-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "ELAINE",
        "middle_name": "ALSPAUGH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-10-27",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0101289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3403407",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "efox436705@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1471 Jag Branch Blvd Ste 105",
            "city": "Kernersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272846956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.