Individual provider Active NPI

Cari Susann Mayers, PA

  • Physician Assistant
  • Pembroke, NC
National Provider Identifier
1295180206
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-06402 Issued in NC
Practice address
307 E Wardell Dr
Pembroke, NC 28372
Phone
(910) 521-2816
Fax
(910) 521-3583
NPI assigned
Apr 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-06402 NC Primary

Addresses

Primary practice location

307 E Wardell Dr
Pembroke, NC 28372

Mailing address

60 Commerce Plaza Cir
Pembroke, NC 28372-7386
Phone (910) 521-2900

Other identifiers 2

IdentifierTypeStateIssuer
1295180206MedicaidNC
1295180206OtherBCBS

Other names 1

  • Cari Susann Richards 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
I20160516002352 NC Practitioner - Physician Assistant 3971892852 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2525 C Phillips Ave
Greensboro, NC 27405-5357
Phone (336) 832-7711

2525 Phillips Ave
Suite D
Greensboro, NC 27405-5357
Phone (336) 832-7712

3711 Elmsley St
Greensboro, NC 27406-7039

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services Inc CurrentSince Jan 1, 2022 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jan 18, 2021 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Physician Assistant CurrentSince Jan 18, 2021 Accepting new patients
Moses Cone Physician Services, Inc CurrentSince Jan 1, 2022 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Jan 18, 2021 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients

Locations

3711 Elmsley St
Ste 101
Greensboro, NC 27406
Phone (336) 890-2165

201 E Wendover Ave
Greensboro, NC 27401
Phone (336) 275-6318

1806 E Market St
#201
Greensboro, NC 27401
Phone (336) 890-5180

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

2525 Phillips Ave
#C
Greensboro, NC 27405
Phone (336) 832-7711

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

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

Organizations & group practices 9

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": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1295180206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 COMMERCE PLAZA CIR",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727386",
            "telephone_number": "910-521-2900",
            "fax_number": "910-775-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E WARDELL DR",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "28372",
            "telephone_number": "910-521-2816",
            "fax_number": "910-521-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYERS",
        "first_name": "CARI",
        "middle_name": "SUSANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295180206",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1295180206",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARI",
            "last_name": "RICHARDS",
            "middle_name": "SUSANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pembroke, NC

Sources for this page

Verify at the official NPI Registry.