Active NPI
Aris Ramon Devries, PA-C
- Physician Assistant
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-06433
- Practice address
- 445 S Kings Dr
Charlotte, NC 28204-3041 - Phone
- (980) 308-0141
- Fax
- (980) 308-0140
- NPI assigned
- Apr 18, 2016
- Last updated
- Mar 2, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 0010-06433 | NC | Primary |
Addresses
Primary practice location
445 S Kings Dr
Charlotte, NC 28204-3041
Mailing address
PO Box 601843
Charlotte, NC 28260-1843
Other practice location 1
920 Church St N
Concord, NC 28025-2927
Phone (704) 403-3000
Other practice location 2
557 Brookdale Dr
Statesville, NC 28677-4107
Phone (704) 873-5661
Other practice location 3
920 Church St N
Concord, NC 28025-2927
Phone (704) 403-3000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adevries841588@direct.novanthealth.org |
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
114 S Sharon Amity Rd
Charlotte, NC 28211-2802
Phone (980) 337-4428
116 S Sharon Amity Rd
Charlotte, NC 28211-2802
Phone (980) 337-4428
4304 Park Rd
Charlotte, NC 28209-2271
Phone (704) 272-3395
445 S Kings Dr
Charlotte, NC 28204-3041
Phone (980) 308-0141
5303 Poplar Tent Rd
Suite 90
Concord, NC 28027-9720
Phone (980) 866-4493
8036 Providence Rd
Suite 100
Charlotte, NC 28277-0257
Phone (980) 301-8711
9600 E Independence Blvd
Suite B
Matthews, NC 28105-4628
Phone (704) 815-5624
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-06433 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Medicorp Enterprises, LLC | Current | Accepting new patients | |
| Carolina Medicorp Enterprises, LLC | Current | Accepting new patients | |
| Carolina Medicorp Enterprises Inc | Physician Assistant | Past | Accepting new patients |
| Emergency Medicine Physicians of Iredell County, PLLC | Past | Accepting new patients |
Locations
445 S Kings Dr
Charlotte, NC 28204
Phone (704) 384-1734
9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510
600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040
Interoperability endpoints
- adevries841588@direct.novanthealth.org
Organizations & group practices 6
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.
-
dba Novant Health GoHealth Urgent Care
- Urgent Care Clinic/Center
- Charlotte, NC
- NPI 1760950646
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1912232182
-
dba Novant Health GoHealth Urgent Care
- Urgent Care Clinic/Center
- Asheville, NC
- NPI 1235014796
-
dba Novant Health GoHealth Urgent Care
- Urgent Care Clinic/Center
- Greensboro, NC
- NPI 1508741067
-
dba Prime Care of North Point
- Nurse Practitioner
- Winston Salem, NC
- NPI 1053379933
Physician Assistant
-
- Emergency Medicine Physician
- Statesville, NC
- NPI 1104151109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1255785192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601843",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 S KINGS DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043041",
"telephone_number": "980-308-0141",
"fax_number": "980-308-0140"
}
],
"practiceLocations": [
{
"address_1": "920 Church St N",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280252927",
"country_code": "US",
"telephone_number": "704-403-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "557 Brookdale Dr",
"address_purpose": "LOCATION",
"city": "Statesville",
"state": "NC",
"postal_code": "286774107",
"country_code": "US",
"telephone_number": "704-873-5661",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "920 Church St N",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280252927",
"country_code": "US",
"telephone_number": "704-403-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEVRIES",
"first_name": "ARIS",
"middle_name": "RAMON",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-18",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-06433",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adevries841588@direct.novanthealth.org",
"affiliation": "N",
"address_1": "445 S Kings Dr",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282043041",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.