Individual provider Active NPI

Pamela Randall Packard

  • Otolaryngic Allergy Physician
  • Gaffney, SC
National Provider Identifier
1245009927
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
License
5019306 Issued in NC
Practice address
1506 N Limestone St
Gaffney, SC 29340-4747
Phone
(864) 489-4498
NPI assigned
Dec 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy Physician 207YX0602X 5019306 NC Primary

Addresses

Primary practice location

1506 N Limestone St
Gaffney, SC 29340-4747

Mailing address

1506 N Limestone St
Gaffney, SC 29340-4747

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
I20241115001920 NC Practitioner - Nurse Practitioner 2860926623 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hopscotch Primary Care PLLCGroup PAC ID 7911173380, 47 clinicians

Practice addresses (Care Compare)

113 E Grover St
Shelby, NC 28150-3803
Phone (828) 487-5228

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5019306NCMDOtolaryngic Allergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hopscotch Primary Care, PLLC CurrentSince Mar 13, 2025 Accepting new patients
Ear Nose Throat & Audiology Associates of the Carolinas, P.a. CurrentSince Jul 21, 2024 Accepting new patients
Ear Nose Throat & Audiology Associates Past Accepting new patients
Hopscotch Primary Care Group, PA Past Accepting new patients
Raleigh Durham Medical Group PA Past Accepting new patients

Locations

6 Brooklet St
Asheville, NC 28801
Phone (828) 250-0898

7006 Shannon Willow Rd
Charlotte, NC 28226
Phone (704) 544-6533

8334 Pineville Matthews Rd
Ste 103151
Charlotte, NC 28226

113 E Grover St
Shelby, NC 28150
Phone (704) 487-5228

1506 N Limestone St
Gaffney, SC 29340
Phone (864) 488-1514

Interoperability endpoints

  • Direct secure messaging: pamela.packard.1@26812.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1703203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1245009927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 N LIMESTONE ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293404747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 N LIMESTONE ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293404747",
            "telephone_number": "864-489-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKARD",
        "first_name": "PAMELA",
        "middle_name": "RANDALL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "NC",
            "license": "5019306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaffney, SC

Sources for this page

Verify at the official NPI Registry.