Corynn Haberski Newman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-04678 Issued in NC

Practice address

5821 Farrington Rd Ste 101
Chapel Hill, NC 27517-9901

Phone

(919) 289-4645

NPI assigned

Jan 10, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Sanford Dermatology, PA

  • Specialist
  • Sanford, NC
  • NPI 1487720264
  NPD (past)

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1316369200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W HILL DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275195214",
            "telephone_number": "828-234-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 FARRINGTON RD STE 101",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275179901",
            "telephone_number": "919-289-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "CORYNN",
        "middle_name": "HABERSKI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-10",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-04678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeleine Barclay Nevin, AUD
• New Destinations, Inc.
• New Outlook..Second Chance, Inc.
• Andrew Richard Newberg, M.D.
• Desi Michele Newberry, NNP
• Jennifer Rose Newman, PT
• Bernice Sue Newsome, APRN-BC
• Kaitlin Alexandra Newsome, MSW, LCSWA
• Diana Joy Newton, MA
• Dominique Newton

• Medical Physician Assistant in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.