Individual provider Active NPI

Margaret Seawell Speas, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Winston Salem, NC
National Provider Identifier
1306941422
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
102656 Issued in NC
Practice address
799 N Highland Avenue
Winston Salem, NC 27102-0686
Phone
(336) 703-3319
Fax
(336) 727-8135
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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 102656 NC Primary

Addresses

Primary practice location

799 N Highland Avenue
Winston Salem, NC 27102-0686

Mailing address

799 N Highland Avenue
Winston Salem, NC 27102-0686
Phone (336) 703-3319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102656NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Physicians of Gaston County, PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1306941422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 N HIGHLAND AVENUE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271020686",
            "telephone_number": "336-703-3319",
            "fax_number": "336-727-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 N HIGHLAND AVENUE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271020686",
            "telephone_number": "336-703-3319",
            "fax_number": "336-727-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEAS",
        "first_name": "MARGARET",
        "middle_name": "SEAWELL",
        "name_prefix": "Ms.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.