Active NPI
Richelle Bangi
- Physician Assistant
- Spring Lake, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-05547
- Practice address
- 6750 Overhills Rd
Spring Lake, NC 28390-8872 - Phone
- (910) 436-2900
- NPI assigned
- Mar 18, 2015
- Last updated
- Apr 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-05547 | NC | Primary |
Addresses
Primary practice location
6750 Overhills Rd
Spring Lake, NC 28390-8872
Mailing address
PO Box 1618
Buies Creek, NC 27506-1618
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16526 NC Hwy 87 W
Tar Heel, NC 28392-8608
Phone (910) 862-6142
3331 Easy St
Dunn, NC 28334-7988
Phone (910) 567-6194
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri County Community Health Council Inc | Current | Accepting new patients | |
| Tri County Community Health Council Inc. | Current | Accepting new patients | |
| First Choice Community Health Centers | Past | Accepting new patients | |
| First Choice Community Health Centers | Past | Accepting new patients |
Locations
3331 Easy St
Dunn, NC 28334
16526 NC Highway 87 W
Tar Heel, NC 28392
Phone (910) 862-6142
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.
-
- Federally Qualified Health Center (FQHC)
- Four Oaks, NC
- NPI 1427087709
-
dba CommWell Health
- Adult Mental Health Clinic/Center
- Dunn, NC
- NPI 1790270999
-
dba CommWell Health -Newton Grove/Spivey's Corner Medical
- Federally Qualified Health Center (FQHC)
- Dunn, NC
- NPI 1952061517
-
- General Practice Physician
- Lillington, NC
- NPI 1083971279
-
dba Anderson Creek Medical Center
- Family Medicine Physician
- Spring Lake, NC
- NPI 1902829153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428624000000",
"number": "1255725008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1618",
"city": "BUIES CREEK",
"state": "NC",
"postal_code": "275061618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6750 OVERHILLS RD",
"city": "SPRING LAKE",
"state": "NC",
"postal_code": "283908872",
"telephone_number": "910-436-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANGI",
"first_name": "RICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-18",
"last_updated": "2015-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-05547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Lake, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.