Individual provider Active NPI

Amelia Martin, PA

  • Physician Assistant
  • Arden, NC
National Provider Identifier
1235526609
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-05702 Issued in NC
Practice address
2695 Hendersonville Rd Ste 200
Arden, NC 28704
Phone
(828) 694-8436
Fax
(828) 654-8152
NPI assigned
Apr 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 0010-05702 NC
Physician Assistant 363A00000X 0010-05702 NC Primary

Addresses

Primary practice location

2695 Hendersonville Rd Ste 200
Arden, NC 28704

Mailing address

800 N Justice St Box 16
Hendersonville, NC 28791
Phone (828) 694-8385

Other names 1

  • Miss Amelia Edmonds Former name

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
I20150613000028 NC Practitioner - Physician Assistant 5395056667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henderson County Hospital CorporationGroup PAC ID 8123938115, 231 clinicians

Practice addresses (Care Compare)

2695 Hendersonville Rd
Arden, NC 28704-8576

800 N Justice St
Hendersonville, NC 28791-3410
Phone (828) 696-1000

Hospital & facility affiliations

  • Pardee Hospital Henderson County Hospital, Hendersonville, NC, CCN 340017
  • Sacred Heart Hospital on the Emerald Coast Hospital, Miramar Beach, FL, CCN 100292
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pardee Neurology Associates CurrentSince Jan 2, 2018 Accepting new patients
Mission Medical Associates, Inc CurrentSince Apr 15, 2017 Accepting new patients
Henderson County Hospital Corporation CurrentSince Jan 2, 2018 Accepting new patients
Henderson County Hospital Corporation Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

2695 Hendersonville Rd
Ste 132
Arden, NC 28704
Phone (828) 694-8436

2695 Hendersonville Rd
#132
Arden, NC 28704

2695 Hendersonville Rd
Ste 200
Arden, NC 28704
Phone (828) 684-6035

21 Hospital Dr
Asheville, NC 28801
Phone (828) 213-0100

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

1 Hospital Dr
Asheville, NC 28801
Phone (828) 213-1994

800 N Justice St
#16
Hendersonville, NC 28791
Phone (828) 694-8350

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

Interoperability endpoints

  • Direct secure messaging: amartin209176@direct.unc.nchie.net

Organizations & group practices 5

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.

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": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1235526609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N JUSTICE ST BOX 16",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "28791",
            "telephone_number": "828-694-8385",
            "fax_number": "828-694-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 HENDERSONVILLE RD STE 200",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "28704",
            "telephone_number": "828-694-8436",
            "fax_number": "828-654-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "AMELIA",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "0010-05702",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMELIA",
            "last_name": "EDMONDS",
            "prefix": "MISS",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arden, NC

Sources for this page

Verify at the official NPI Registry.