Individual provider Active NPI

Cassandra Jean Eddy, PA-C

  • Physician Assistant
  • McKinney, TX
National Provider Identifier
1275979106
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA015732 Issued in TX
Practice address
809 N Central Expressway
McKinney, TX 75070
Phone
(972) 529-4500
Fax
(214) 592-0794
NPI assigned
May 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA15732 TX
Physician Assistant 363A00000X PA015732 TX Primary
Physician Assistant 363A00000X 0010-05587 NC
Physician Assistant 363A00000X 0010-05587 TX

Addresses

Primary practice location

809 N Central Expressway
McKinney, TX 75070

Mailing address

809 N Central Expressway
McKinney, TX 75070
Phone (972) 529-4500

Other names 1

  • Cassandra Jean Cardwell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161114002354 NC Practitioner - Physician Assistant 6002059987 Reassigns benefits to 2 organizations
I20221020000159 TX Practitioner - Physician Assistant 6002059987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Physicians PLLCGroup PAC ID 7810237740, 240 clinicians

Practice addresses (Care Compare)

1218 W McDermott Dr
Allen, TX 75013-6304
Phone (972) 390-9000

14856 Preston Rd
Suite 100
Dallas, TX 75254-9197
Phone (972) 387-8900

1559 W Main St
Lewisville, TX 75067-3394
Phone (972) 436-0333

2310 W University Dr
Suite 1500
Denton, TX 76201-1650
Phone (940) 220-5901

377 W Campbell Rd
Suite 100
Richardson, TX 75080-3695
Phone (469) 232-2945

3821 W Spring Creek Pkwy
Plano, TX 75023-3808
Phone (972) 599-0077

809 N Central Expy
McKinney, TX 75070-3303
Phone (972) 529-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-05587TXMDPhysician Assistant
PA015732TXMDPhysician Assistant
PA15732TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Oct 10, 2016 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Oct 10, 2016 Accepting new patients
Advanced Sleep Disorders Center LLC Past Accepting new patients

Locations

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

9332 S Tryon St
Charlotte, NC 28273
Phone (704) 587-6700

4525 Cameron Valley Pkwy
Ste 1500
Charlotte, NC 28211
Phone (704) 512-6240

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

5717 Albemarle Rd
Charlotte, NC 28212
Phone (704) 563-2150

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1275979106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 N CENTRAL EXPRESSWAY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75070",
            "telephone_number": "972-529-4500",
            "fax_number": "214-592-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N CENTRAL EXPRESSWAY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75070",
            "telephone_number": "972-529-4500",
            "fax_number": "214-592-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "CASSANDRA",
        "middle_name": "JEAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-19",
        "last_updated": "2024-07-26",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA15732",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA015732",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05587",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "0010-05587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "CARDWELL",
            "middle_name": "JEAN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.