Individual provider Active NPI

Donna Pearl Brandon, PA

  • Physician Assistant
  • Summerfield, NC
National Provider Identifier
1295052223
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
101670 Issued in NC
Practice address
4901 Auburn Rd
Summerfield, NC 27358-9233
Phone
(336) 660-5280
Fax
(336) 660-5289
NPI assigned
Apr 30, 2010
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 101670 NC
Physician Assistant 363A00000X 101670 NC Primary

Addresses

Primary practice location

4901 Auburn Rd
Summerfield, NC 27358-9233

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

4529 Jessup Grove Rd
Greensboro, NC 27410-9407
Phone (336) 605-0190

Other practice location 2

240 Broad St
Kernersville, NC 27284-2930
Phone (336) 993-8333

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
I20040917000966 NC Practitioner - Physician Assistant 9638147663 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Sep 23, 2023 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Physician Assistant CurrentSince Sep 22, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 23, 2023 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Sep 22, 2025 Accepting new patients
Northwest Pediatrics Inc Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

517 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 384-1406

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

1471 Jag Branch Blvd
Unit 101
Kernersville, NC 27284
Phone (336) 515-7420

4901 Auburn Rd
Summerfield, NC 27358
Phone (336) 660-5270

1351 Westgate Center Dr
Winston Salem, NC 27103
Phone (336) 718-7777

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: dbrandon1159146@direct.novanthealth.org
  • Direct secure messaging: dbrandon763919@direct.conehealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1295052223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 AUBURN RD",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273589233",
            "telephone_number": "336-660-5280",
            "fax_number": "336-660-5289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4529 Jessup Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274109407",
            "country_code": "US",
            "telephone_number": "336-605-0190",
            "fax_number": "336-605-0930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Broad St",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272842930",
            "country_code": "US",
            "telephone_number": "336-993-8333",
            "fax_number": "336-993-5144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "DONNA",
        "middle_name": "PEARL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-30",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "101670",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, NC

Sources for this page

Verify at the official NPI Registry.