NPIMap

Individual provider Active NPI

Teresita Claret Ruoff, PA-C

  • Physician Assistant
  • High Point, NC
National Provider Identifier
1255636031
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-02741 Issued in NC
Practice address
1226 Eastchester Dr Ste 100
High Point, NC 27265-3116
Phone
(336) 481-8540
Fax
(336) 481-8549
NPI assigned
Jan 25, 2011
Last updated
Aug 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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 0010-02741 NC Primary

Addresses

Primary practice location

1226 Eastchester Dr Ste 100
High Point, NC 27265-3116

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 481-8540

Other practice location 1

3505 Village Dr
Fayetteville, NC 28304-4553
Phone (910) 323-0065

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address truoff883282@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120328000638 NC Practitioner - Physician Assistant 3173783123 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

Practice addresses (Care Compare)

1226 Eastchester Dr
High Point, NC 27265-3116

144 Forest Hill Rd
Lexington, NC 27295-2008

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

5145 Sellers Rd
Shallotte, NC 28470-3405

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Medical Group, Inc. CurrentSince Jun 15, 2021 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Jun 15, 2021 Accepting new patients
Southeastern Regional Physician Services CurrentSince Jan 15, 2018 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jun 15, 2021 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jun 15, 2021 Accepting new patients
Southeastern Regional Physician Services CurrentSince Jan 15, 2018 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Jun 15, 2021 Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients
Pain and Laser Cente PA Past Accepting new patients

Locations

125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

1226 Eastchester Dr
#100
High Point, NC 27265
Phone (336) 481-8540

2936 N Elm St
#102
Lumberton, NC 28358
Phone (910) 671-6619

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

812 Candy Park Rd
Ste 5103
Pembroke, NC 28372
Phone (910) 671-6619

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: truoff883282@direct.novanthealth.org

Organizations & group practices 14

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.

View all 14

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": "1295913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1255636031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "336-481-8540",
            "fax_number": "336-481-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 EASTCHESTER DR STE 100",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272653116",
            "telephone_number": "336-481-8540",
            "fax_number": "336-481-8549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3505 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044553",
            "country_code": "US",
            "telephone_number": "910-323-0065",
            "fax_number": "910-323-0071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUOFF",
        "first_name": "TERESITA",
        "middle_name": "CLARET",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-25",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "truoff883282@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1226 Eastchester Dr Ste 100",
            "city": "High Point",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272653116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.