Norah Adeyemi, PA-C
Individual provider Active NPI Physician Assistant · Lillington, NC
NPI 1265909253 · NPPES record last updated Feb 11, 2019
Key facts
- NPI
- 1265909253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0010-08797 (NC)
- Practice address
- 40 Autumn Fern TRL
Lillington, NC 27546-5155 - Phone
- (910) 364-0971
- NPI assigned
- Oct 27, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Boston University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cambridge Public Health Commission
Practice addresses (Care Compare)
103 Garland St
Everett, MA 02149-5066
Phone (617) 389-6270
Hospital & facility affiliations
- Cambridge Health Alliance
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190422000884 | MA | Practitioner - Physician Assistant | 9537401674 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-08797 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Cambridge Public Health Commission | Current |
Accepting new patients | |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Cambridge Public Health Commission | Current |
Accepting new patients |
Locations
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
237 Hampshire St
Cambridge, MA 02139
Phone (617) 575-5570
103 Garland St
Everett, MA 02149
Phone (617) 381-7150
2067 Massachusetts Ave
North Cambridge, MA 02140
Phone (617) 575-5550
9 Galen St
Watertown, MA 02472
Phone (617) 562-5413
Interoperability endpoints
- nadeyemi111441@direct.challiance.masshiway.net
- nadeyemi@fcchc.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA6813 | MA | |
| Physician Assistant | 363A00000X | 0010-08797 | NC | Yes |
Addresses
Primary practice location
40 Autumn Fern TRL
Lillington, NC 27546-5155
Mailing address
21 Oak Ridge Ave Apt 1
Salem, NH 03079-4424
Phone (603) 264-3095
Other practice location 1
21 Oak Ridge Ave Apt 1
Salem, NH 03079-4424
Phone (603) 264-3095
Other providers in Lillington, NC
- Jessica Ann Abdiou
- Affinity Health Services, Inc.
- Kyle Ryan Agostini
- Eric Akhiwu
- Gregory Alan
- Rita Alexander
All providers in Lillington, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.