Individual provider Active NPI

Amy Shelton Umbel, PA

  • Physician Assistant
  • Marion, NC
National Provider Identifier
1225402696
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-12457 Issued in NC
Practice address
2293 Sugar Hill Rd Ste D
Marion, NC 28752-7787
Phone
(828) 652-8727
Fax
(828) 652-8793
NPI assigned
Nov 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2463 SC
Physician Assistant 363A00000X 0010-12457 NC Primary

Addresses

Primary practice location

2293 Sugar Hill Rd Ste D
Marion, NC 28752-7787

Mailing address

695 W Fleming Dr
Morganton, NC 28655-4450
Phone (828) 580-3278

Other practice location 1

210 N Main St
London, OH 43140
Phone (740) 845-7000

Other practice location 2

1208 Hickory Blvd SW Ste 102
Lenoir, NC 28645-6461
Phone (828) 991-4660

Other practice location 3

1109 Wilson St
Newberry, SC 29108-3443
Phone (803) 321-3035

Other practice location 4

695 W Fleming Dr
Morganton, NC 28655-4450
Phone (828) 580-3278

Other practice location 5

730 Malcolm Blvd Ste 150
Connelly Springs, NC 28612-8079
Phone (828) 874-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170828003206 OH Practitioner - Physician Assistant 9830493873 Reassigns benefits to 2 organizations
I20220907003778 NC Practitioner - Physician Assistant 9830493873 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2463SCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Neurological Consultants, Inc CurrentSince Feb 13, 2019 Accepting new patients
Orthopedic & Neurological Consultants, Inc. Medical CurrentSince Feb 13, 2019 Accepting new patients
Catawba Urgent Care of Mountain View LLC PastSince Apr 26, 2026 Accepting new patients

Locations

L 3973
Columbus, OH 43260

1313 Olentangy River Rd
Columbus, OH 43212
Phone (614) 221-3725

70 S Cleveland Ave
Westerville, OH 43081
Phone (614) 839-2115

Organizations & group practices 6

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": "1448150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1225402696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 W FLEMING DR",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554450",
            "telephone_number": "828-580-3278",
            "fax_number": "828-580-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2293 SUGAR HILL RD STE D",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287527787",
            "telephone_number": "828-652-8727",
            "fax_number": "828-652-8793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 N Main St",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "OH",
            "postal_code": "43140",
            "country_code": "US",
            "telephone_number": "740-845-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1208 Hickory Blvd SW Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lenoir",
            "state": "NC",
            "postal_code": "286456461",
            "country_code": "US",
            "telephone_number": "828-991-4660",
            "fax_number": "828-991-4659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1109 Wilson St",
            "address_purpose": "LOCATION",
            "city": "Newberry",
            "state": "SC",
            "postal_code": "291083443",
            "country_code": "US",
            "telephone_number": "803-321-3035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "695 W Fleming Dr",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286554450",
            "country_code": "US",
            "telephone_number": "828-580-3278",
            "fax_number": "828-580-3279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Malcolm Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Connelly Springs",
            "state": "NC",
            "postal_code": "286128079",
            "country_code": "US",
            "telephone_number": "828-874-4600",
            "fax_number": "828-874-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UMBEL",
        "first_name": "AMY",
        "middle_name": "SHELTON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-22",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "2463",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, NC

Sources for this page

Verify at the official NPI Registry.