Active NPI
Pamela A. Whibby, PA
- Physician Assistant
- Rocky Mount, NC
National Provider Identifier
1225198484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 102315
- Practice address
- 3009 Zebulon Rd
Rocky Mount, NC 27804-2422 - Phone
- (252) 443-2552
- Fax
- (252) 443-0936
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 102315 | NC | Primary |
| Physician Assistant | 363A00000X | 0056791 | NY | |
| Physician Assistant | 363A00000X | 000737 | CT |
Addresses
Primary practice location
3009 Zebulon Rd
Rocky Mount, NC 27804-2422
Mailing address
4204 Dewfield N Dr
Wilson, NC 27896-8980
Phone (860) 805-7162
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225198484 | Other | NC | BCBS |
| 1225198484 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000737 | CT | MD | Marriage & Family Therapist |
| 102315 | NC | MD | Physician Assistant |
| 0056791 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447977600000",
"number": "1225198484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4204 DEWFIELD N DR",
"city": "WILSON",
"state": "NC",
"postal_code": "278968980",
"telephone_number": "860-805-7162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 ZEBULON RD",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278042422",
"telephone_number": "252-443-2552",
"fax_number": "252-443-0936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHIBBY",
"first_name": "PAMELA",
"middle_name": "A.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2015-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "102315",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "0056791",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "000737",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1225198484",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225198484",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.