Individual provider Active NPI

Pamela Duncan

  • Adult Health Nurse Practitioner
  • Chapel Hill, NC
National Provider Identifier
1265055271
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5013281 Issued in NC
Practice address
120 N Medical Dr Unc-CH Son: Carrington Hall
Chapel Hill, NC 27599-7460
Phone
(919) 966-4260
NPI assigned
May 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Adult Health Nurse Practitioner 363LA2200X 5013281 NC Primary

Addresses

Primary practice location

120 N Medical Dr Unc-CH Son: Carrington Hall
Chapel Hill, NC 27599-7460

Mailing address

120 N Medical Dr Unc-CH Son: Carrington Hall
Chapel Hill, NC 27599-7460
Phone (919) 966-4260

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
I20200914000174 NC Practitioner - Nurse Practitioner 8123446853 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5013281NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Iredell County, Inc CurrentSince Aug 23, 2021 Accepting new patients
Goshen Medical Center, Incorporated Current Accepting new patients
Goshen Medical Center Incorporated CurrentSince Jul 5, 2020 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Jul 5, 2020 Accepting new patients

Locations

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

325 NC Highway 55 W
Mount Olive, NC 28365
Phone (919) 658-5900

2347 Simonton Rd
Statesville, NC 28625
Phone (704) 873-4719

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1265055271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N MEDICAL DR UNC-CH SON: CARRINGTON HALL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997460",
            "telephone_number": "919-966-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N MEDICAL DR UNC-CH SON: CARRINGTON HALL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997460",
            "telephone_number": "919-966-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "PAMELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5013281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.