Active NPI
Michelle A Christian, PA
- Medical Physician Assistant
- Winston Salem, NC
National Provider Identifier
1285633941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 101536
- Practice address
- 4692 Brownsboro Rd
Physicians Eldercare
Winston Salem, NC 27106-3410 - Phone
- (336) 251-1114
- Fax
- (336) 251-1115
- NPI assigned
- Jul 15, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 101536 | NC | Primary |
| Medical Physician Assistant | 363AM0700X | 003223 | GA |
Addresses
Primary practice location
4692 Brownsboro Rd
Physicians Eldercare
Winston Salem, NC 27106-3410
Mailing address
4692 Brownsboro Rd
Physicians Eldercare
Winston Salem, NC 27106-3410
Phone (336) 251-1114
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0291PA | Medicaid | SC | |
| 100000717B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2375 Baker Hospital Blvd
North Charleston, SC 29405-8233
Phone (737) 226-6700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1214 | SC | MD | Oral and Maxillofacial Surgery (Dentist) |
| 003223 | GA | MD | Medical Physician Assistant |
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.
-
- Internal Medicine Physician
- North Charleston, SC
- NPI 1316477896
-
- Internal Medicine Physician
- Durham, NC
- NPI 1770217176
-
- General Practice Physician
- Durham, NC
- NPI 1023083268
-
- Family Nurse Practitioner
- North Charleston, SC
- NPI 1275915522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297209600000",
"number": "1285633941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4692 BROWNSBORO RD",
"address_2": "PHYSICIANS ELDERCARE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063410",
"telephone_number": "336-251-1114",
"fax_number": "336-251-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4692 BROWNSBORO RD",
"address_2": "PHYSICIANS ELDERCARE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063410",
"telephone_number": "336-251-1114",
"fax_number": "336-251-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIAN",
"first_name": "MICHELLE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-15",
"last_updated": "2011-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "101536",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "003223",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0291PA",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100000717B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.