S Diann Pace, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

102222 Issued in NC

Practice address

124 Foy Dr
Rocky Mount, NC 27804-2417

Phone

(252) 937-2100

Fax

(252) 937-7034

NPI assigned

May 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Diann Pace Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dpace@goshenmedical.cloudcraftdirect.com
• FHIR API: https://api.platform.athenahealth.com/3440/brand/1/csg/1/fhir/r4

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.

• Goshen Medical Center, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Kenansville, NC
  • NPI 1962124974
  Medicare reassignment
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Faison, NC
  • NPI 1154378933
  NPD
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Rockingham, NC
  • NPI 1457181323
  NPD
• Goshen Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fremont, NC
  • NPI 1679718316
  NPD
• Allergy and Asthma Specialty Group, P. a.

  • Allergy & Immunology Physician
  • Rocky Mount, NC
  • NPI 1043422215
  NPD (past)
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Goldsboro, NC
  • NPI 1194128991
  NPD (past)
• Nova Urgent & Medical Care, P.a.

  • Urgent Care Clinic/Center
  • Smithfield, NC
  • NPI 1841235074
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453507200000",
    "number": "1306804653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 FOY DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042417",
            "telephone_number": "252-937-2100",
            "fax_number": "252-937-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 FOY DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042417",
            "telephone_number": "252-937-2100",
            "fax_number": "252-937-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "S",
        "middle_name": "DIANN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2016-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANN",
            "last_name": "PACE",
            "credential": "PHYSICIAN ASSISTANT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah Outhouse
• Patricia Annette Oxendine-Pitt, B.S., CSAC
• Oxycare Corp
• Ozah Home Care Inc
• P R Health Services of NC
• Ravindran Arcot Padmanabhan, M.D.
• Catherine K Page-Richert
• Aaron Pait
• Aurora K Pajeau, MD
• Carol Gibbons Paluch, CRNA

• Physician Assistant in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.