Individual provider Active NPI

David Paul Mayer, PAC

  • Physician Assistant
  • Belmont, NC
National Provider Identifier
1215906391
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-00338 Issued in NC
Practice address
6750 W Wilkinson Blvd
Belmont, NC 28012-6202
Phone
(704) 825-6929
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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 0010-0038 NC
Physician Assistant 363A00000X 0010-00338 NC Primary

Addresses

Primary practice location

6750 W Wilkinson Blvd
Belmont, NC 28012-6202

Mailing address

1 CVS Dr
Woonsocket, RI 02895-6146
Phone (866) 389-2727

Other practice location 1

442 S Highway 27
MinuteClinic Diagnostic of North Carlonia
Stanley, NC 28164-2055
Phone (866) 389-2727

Other identifiers 1

IdentifierTypeStateIssuer
897813AMedicaidNC

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
I20080130000538 NC Practitioner - Physician Assistant 2567544497 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Brody School of Medicine at East Carolina University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of North Carolina PCGroup PAC ID 6002837572, 208 clinicians

Practice addresses (Care Compare)

1 CVS Dr
Woonsocket, RI 02895-6146

4100 Carmel Rd
Charlotte, NC 28226-6150
Phone (866) 389-2727

6840 Glenwood Ave
Raleigh, NC 27612-7133
Phone (866) 389-2727

9628 Rea Rd
Charlotte, NC 28277-6697
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-00338NCMDPhysician Assistant
0010-0038NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care North Carolina PLLC Physician Assistant CurrentSince Sep 21, 2025 Accepting new patients

Locations

10100 S Main St
Archdale, NC 27263
Phone (336) 431-0715

6750 W Wilkinson Blvd
Belmont, NC 28012
Phone (704) 825-6929

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

442 S Highway 27
Stanley, NC 28164
Phone (704) 263-1416

1 Cvs Dr
Woonsocket, RI 02895
Phone (401) 770-1669

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1215906391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "866-389-2727",
            "fax_number": "401-216-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 W WILKINSON BLVD",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280126202",
            "telephone_number": "704-825-6929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "442 S Highway 27",
            "address_2": "MinuteClinic Diagnostic of North Carlonia",
            "address_purpose": "LOCATION",
            "city": "Stanley",
            "state": "NC",
            "postal_code": "281642055",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "fax_number": "401-652-9787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYER",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-0038",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "897813A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, NC

Sources for this page

Verify at the official NPI Registry.