Active NPI
Amanda Ann Justus, PA
- Physician Assistant
- Hendersonville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-05515
- Practice address
- 80 Doctors Dr Ste 1
Hendersonville, NC 28792-7289 - Phone
- (828) 654-0073
- Fax
- (828) 681-5036
- NPI assigned
- Mar 11, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-05515 | NC | Primary |
Addresses
Primary practice location
80 Doctors Dr Ste 1
Hendersonville, NC 28792-7289
Mailing address
PO Box 1869
Fletcher, NC 28732-1869
Phone (828) 687-5616
Other practice location 1
14 Medical Park Dr
Asheville, NC 28803-2493
Phone (828) 252-3366
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
Enrollment records 1
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)
80 Doctors Dr
Hendersonville, NC 28792-7289
Hospital & facility affiliations
- Adventhealth Hendersonville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-05515 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fletcher Hospital Inc | Current | Accepting new patients | |
| Fletcher Hospital Inc | Current | Accepting new patients | |
| Fontenot Physical Therapy | Past | Accepting new patients |
Locations
80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073
Interoperability endpoints
- ajustus659371@adventhealth.direct-ci.com
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.
-
- Rural Acute Care Hospital
- Hendersonville, NC
- NPI 1427075027
-
- Rural Health Clinic/Center
- Saluda, NC
- NPI 1376371880
-
- Hospitalist Physician
- Columbus, NC
- NPI 1891523122
-
- Physical Therapist
- Ville Platte, LA
- NPI 1215081831
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hendersonville, NC
- NPI 1427075027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523836800000",
"number": "1306239686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1869",
"city": "FLETCHER",
"state": "NC",
"postal_code": "287321869",
"telephone_number": "828-687-5616",
"fax_number": "828-650-8076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 DOCTORS DR STE 1",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287927289",
"telephone_number": "828-654-0073",
"fax_number": "828-681-5036"
}
],
"practiceLocations": [
{
"address_1": "14 Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288032493",
"country_code": "US",
"telephone_number": "828-252-3366",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUSTUS",
"first_name": "AMANDA",
"middle_name": "ANN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-11",
"last_updated": "2018-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-05515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.