Individual provider Active NPI

Heather W Pait, PA-C

  • Physician Assistant
  • Bladenboro, NC
National Provider Identifier
1235228446
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103785 Issued in NC
Practice address
1106 W Seaboard St
Bladenboro, NC 28320-6985
Phone
(910) 863-3138
Fax
(910) 863-3597
NPI assigned
Oct 12, 2006
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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 103785 NC Primary

Addresses

Primary practice location

1106 W Seaboard St
Bladenboro, NC 28320-6985

Mailing address

1106 W Seaboard St
Bladenboro, NC 28320-6985
Phone (910) 863-3138

Other practice location 1

6201 Raeford Rd
Fayetteville, NC 28304-2425
Phone (910) 609-3780

Other practice location 2

9858 N Wr Latham Dr
Clarkton, NC 28433-9341
Phone (910) 862-1217

Other practice location 3

107 E Dunham St
Elizabethtown, NC 28337
Phone (910) 862-2122

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
I20041103001199 NC Practitioner - Physician Assistant 4284696949 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bladen Healthcare LLCGroup PAC ID 6800967969, 41 clinicians

Practice addresses (Care Compare)

1106 W Seaboard St
Bladenboro, NC 28320-6985
Phone (910) 863-3138

6201 Raeford Rd
Fayetteville, NC 28304-2425
Phone (910) 609-3780

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103785NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bladen Healthcare, LLC CurrentSince Jul 31, 2023 Accepting new patients
Cape Fear Valley Health Medical Group LLC Physician Assistant Current Accepting new patients
Southeastern Regional Physician Services CurrentSince Dec 1, 2011 Accepting new patients
Bladen Healthcare LLC Current Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Nov 4, 2025 Accepting new patients
Southeastern Regional Physician Services CurrentSince Dec 1, 2011 Accepting new patients
Bladen Healthcare, LLC CurrentSince Jul 31, 2023 Accepting new patients
Bladen Healthcare LLC CurrentSince Jul 31, 2023 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Nov 4, 2025 Accepting new patients
Cape Fear Valley Health Medical Group LLC Past Accepting new patients
Bladen Medical Associates Past Accepting new patients

Locations

1106 W Seaboard St
Bladenboro, NC 28320
Phone (910) 863-3138

9858 N Wr Latham Dr
Clarkton, NC 28433
Phone (910) 862-1217

107 E Dunham St
Elizabethtown, NC 28337
Phone (910) 615-3200

300A E McKay St
Elizabethtown, NC 28337
Phone (910) 862-5500

501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

6201 Raeford Rd
Fayetteville, NC 28304
Phone (910) 486-7777

2002 N Cedar St
#B
Lumberton, NC 28358
Phone (910) 272-3048

2600 N Elm St
Lumberton, NC 28358
Phone (910) 671-5290

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

Interoperability endpoints

  • Direct secure messaging: hpait115701@capefearvalley.direct-ci.com
  • Direct secure messaging: hpait846177@direct.unc.nchie.net

Organizations & group practices 12

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1235228446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 W SEABOARD ST",
            "city": "BLADENBORO",
            "state": "NC",
            "postal_code": "283206985",
            "telephone_number": "910-863-3138",
            "fax_number": "910-863-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 W SEABOARD ST",
            "city": "BLADENBORO",
            "state": "NC",
            "postal_code": "283206985",
            "telephone_number": "910-863-3138",
            "fax_number": "910-863-3597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6201 Raeford Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283042425",
            "country_code": "US",
            "telephone_number": "910-609-3780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9858 N Wr Latham Dr",
            "address_purpose": "LOCATION",
            "city": "Clarkton",
            "state": "NC",
            "postal_code": "284339341",
            "country_code": "US",
            "telephone_number": "910-862-1217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 E Dunham St",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NC",
            "postal_code": "28337",
            "country_code": "US",
            "telephone_number": "910-862-2122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAIT",
        "first_name": "HEATHER",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bladenboro, NC

Sources for this page

Verify at the official NPI Registry.