Individual provider Active NPI

Beatriz Aponte Bidgood, PA-C

  • Physician Assistant
  • Holly Springs, NC
National Provider Identifier
1306475975
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-15235 Issued in NC
Practice address
781 Avent Ferry Rd Ste 102
Holly Springs, NC 27540-7776
Phone
(919) 567-6120
Fax
(919) 567-6121
NPI assigned
Apr 6, 2020
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9604 GA
Physician Assistant 363A00000X 0010-15235 NC Primary

Addresses

Primary practice location

781 Avent Ferry Rd Ste 102
Holly Springs, NC 27540-7776

Mailing address

17 Marshland Pointe
Pooler, GA 31322-3685
Phone (919) 324-5500

Other practice location 1

17 Marshland Pointe
Pooler, GA 31322-3685
Phone (919) 324-5500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bbidgood1283338@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC, NC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20221027000481 GA Practitioner - Physician Assistant 5991127482 Reassigns benefits to 1 organization
I20240918003500 SC Practitioner - Physician Assistant 5991127482 Reassigns benefits to 1 organization
I20250729004964 NC Practitioner - Physician Assistant 5991127482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

1059 Beaver Creek Commons Dr
Unit 230
Apex, NC 27502-3918
Phone (984) 960-1300

1104 Market Ctr Dr
Suite 130
Morrisville, NC 27560-7504
Phone (984) 960-1200

11200 Governor Manly Way
Raleigh, NC 27614-7360

1617 N Main St
Fuquay Varina, NC 27526-9021

3050 Duraleigh Rd
Raleigh, NC 27612-5451

4420 Lake Boone TRL
Raleigh, NC 27607-7505

6602 Knightdale Blvd
Knightdale, NC 27545-6526

781 Avent Ferry Rd
Holly Springs, NC 27540-7776

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9604GAMDPhysician Assistant
0010-15235NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rex Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bbidgood@gscc.encitedirect.com
  • Direct secure messaging: bbidgood1283338@direct.unc.nchie.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1306475975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MARSHLAND POINTE",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313223685",
            "telephone_number": "919-324-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 AVENT FERRY RD STE 102",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407776",
            "telephone_number": "919-567-6120",
            "fax_number": "919-567-6121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Marshland Pointe",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313223685",
            "country_code": "US",
            "telephone_number": "919-324-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIDGOOD",
        "first_name": "BEATRIZ",
        "middle_name": "APONTE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9604",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-15235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbidgood1283338@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "781 Avent Ferry Rd Ste 102",
            "city": "Holly Springs",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275407776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

Verify at the official NPI Registry.