Individual provider Active NPI

Benedicta Nyarkoa Pongo

  • Physician Assistant
  • Franklin, NC
National Provider Identifier
1275260176
Registry record updated Jul 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
55 Holly Springs Park Dr
Franklin, NC 28734-0719
Phone
(828) 349-3550
NPI assigned
Aug 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2024

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
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

55 Holly Springs Park Dr
Franklin, NC 28734-0719

Mailing address

55 Holly Springs Park Dr
Franklin, NC 28734-0719
Phone (828) 349-3550

Other names 1

  • Benedicta Nyarkoa Asare Former name

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
I20240319000541 NC Practitioner - Physician Assistant 6103263793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

144 Holly Springs Park Dr
Franklin, NC 28734-0719
Phone (828) 349-5057

55 Holly Springs Park Dr
Franklin, NC 28734-0719
Phone (828) 349-3550

98 Doctors Dr
Sylva, NC 28779-4502

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Western Carolina Physician Practices LLC CurrentSince Mar 11, 2024 Accepting new patients
Trevecca Nazarene University PastSince Aug 1, 2022 Accepting new patients

Locations

55 Holly Springs Park Dr
Franklin, NC 28734
Phone (828) 349-3550

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: benedicta.pongo.1@9865.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720915200000",
    "number": "1275260176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HOLLY SPRINGS PARK DR",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287340719",
            "telephone_number": "828-349-3550",
            "fax_number": "844-560-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HOLLY SPRINGS PARK DR",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287340719",
            "telephone_number": "828-349-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONGO",
        "first_name": "BENEDICTA",
        "middle_name": "NYARKOA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2024-07-14",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BENEDICTA",
            "last_name": "ASARE",
            "middle_name": "NYARKOA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Franklin, NC

Sources for this page

Verify at the official NPI Registry.