Active NPI
Afnan M Kadah, PA-C
- Physician Assistant
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-11714
- Practice address
- 611 Church St N
Concord, NC 28025-4322 - Phone
- (704) 963-9270
- Fax
- (704) 963-9038
- NPI assigned
- Sep 8, 2021
- Last updated
- Nov 6, 2023
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-11714 | NC | Primary |
| Medical Physician Assistant | 363AM0700X | 0010-11714 | NC |
Addresses
Primary practice location
611 Church St N
Concord, NC 28025-4322
Mailing address
611 Church St N
Concord, NC 28025-4322
Phone (980) 866-0466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010-11714 | Other | NC | NORTH CAROLINA MEDICAL BOARD |
Other names 1
- Afnan M Beauti
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | credentialing@rowanpsychiatric.com | Direct |
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
117 Fuchia LN
Lincolnton, NC 28092-4287
Phone (704) 520-3620
310 Statesville Blvd
Salisbury, NC 28144-2368
Phone (704) 637-1888
611 Church St N
Concord, NC 28025-4322
Phone (704) 963-9270
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-11714 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Care Medical Clinic | Current | Accepting new patients |
Locations
2938 The Plaza
Charlotte, NC 28205
Phone (704) 375-0404
404 S Sutherland Ave
Monroe, NC 28112
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.
-
- Specialist
- Salisbury, NC
- NPI 1457667800
-
dba Afc Urgent Care
- Urgent Care Clinic/Center
- Charlotte, NC
- NPI 1679066658
-
dba First Care Medical Clinic
- Internal Medicine Physician
- Monroe, NC
- NPI 1689635237
-
- Internal Medicine Physician
- Salisbury, NC
- NPI 1609148998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1306515820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 CHURCH ST N",
"city": "CONCORD",
"state": "NC",
"postal_code": "280254322",
"telephone_number": "980-866-0466",
"fax_number": "704-963-9038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 CHURCH ST N",
"city": "CONCORD",
"state": "NC",
"postal_code": "280254322",
"telephone_number": "704-963-9270",
"fax_number": "704-963-9038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KADAH",
"first_name": "AFNAN",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-08",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-11714",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "0010-11714",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA MEDICAL BOARD",
"identifier": "0010-11714",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "credentialing@rowanpsychiatric.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "611 Church St N",
"city": "Concord",
"state": "NC",
"country_code": "US",
"postal_code": "280254322",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AFNAN",
"last_name": "BEAUTI",
"middle_name": "M",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
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- Jalal Shoukri Kablan, CRNA
- Michael Kitson Kaczmarek, M.D.
- Nicholas J Kain, DDS
- Kristin Marie Kaiser, NP
- Ipe George Kalathoor, MD
- Patricia Kaldy, MD
- Raeann Kalenka
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.