Individual provider Active NPI

Rebecca Ann Bledsoe, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1306578042
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-14391 Issued in NC
Practice address
1633 New Garden Rd Unit 373
Greensboro, NC 27410-2001
Phone
(336) 223-4626
Fax
(743) 239-3438
NPI assigned
Jun 30, 2022
Last updated
Sep 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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 0010-14391 NC Primary

Addresses

Primary practice location

1633 New Garden Rd Unit 373
Greensboro, NC 27410-2001

Mailing address

1633 New Garden Rd Unit 373
Greensboro, NC 27410-2001
Phone (336) 223-4626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR, 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
I20230920002981 TN Practitioner - Physician Assistant 2466806799
I20240312003493 AR Practitioner - Physician Assistant 2466806799 Reassigns benefits to 1 organization
I20241010001629 NC Practitioner - Physician Assistant 2466806799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Apogee Behavioral Medicine PCGroup PAC ID 6204218357, 64 clinicians

Practice addresses (Care Compare)

370 Knollwood St
Suite 301
Winston Salem, NC 27103-1835
Phone (336) 252-4440

445 Dolley Madison Rd
Suite 100
Greensboro, NC 27410-5166
Phone (336) 967-6596

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100Reported as group
Quality
69.44
Promoting interoperability
100
Improvement activities
40
Cost
83.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 2

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": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1306578042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 NEW GARDEN RD UNIT 373",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102001",
            "telephone_number": "336-223-4626",
            "fax_number": "743-239-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 NEW GARDEN RD UNIT 373",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102001",
            "telephone_number": "336-223-4626",
            "fax_number": "743-239-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEDSOE",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.