Aaron T Blackmer, P.A

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

10502 Park Rd
Suite 100
Charlotte, NC 28210-8479

Phone

(704) 542-1366

Fax

(704) 542-1036

NPI assigned

Oct 25, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Laser and Vein Specialists of the Carolina'S, PLLCGroup PAC ID 9830285568, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Dermatology Laser and Vein Specialists of the Carolina'S, PLLC

  • Dermatology Physician
  • Charlotte, NC
  • NPI 1083700207
  Medicare reassignment Care Compare group
• Stephen a Spencer MD PA

  • Specialist
  • Port Charlotte, FL
  • NPI 1841244266
  NPD (past)

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255321972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10502 PARK RD",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108479",
            "telephone_number": "704-542-1366",
            "fax_number": "704-542-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10502 PARK RD",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108479",
            "telephone_number": "704-542-1366",
            "fax_number": "704-542-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMER",
        "first_name": "AARON",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102207",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF FLORIDA",
            "identifier": "08153",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trasha Jacquette Black, PHD, LPC, NCC
• Collin William Blackburn, MD
• Jennifer Jill Blackburn, M. ED., BCBA
• Stephanie Anne Blackburn, LCSW
• Donald Wayne Blackley, M.D.
• Alicia Blackmon
• Ebony Lasha Blackmon
• Kimberly Anne Blackmon, LPC, NCC, LCAS, CCS
• Lindsay Lowery Blackmon, MSW, LCSW, LCAS
• Pamela Stuckey Blackmon, C.S.A.C.

• Medical Physician Assistant in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.