Individual provider Active NPI

Jeremy Wade Sexton, PA

  • Medical Physician Assistant
  • Lincolnton, NC
National Provider Identifier
1326327610
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0010-03042 Issued in NC
Practice address
1531 N Aspen St
Lincolnton, NC 28092-7268
Phone
(704) 732-8736
NPI assigned
Aug 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0010-03042 NC Primary

Addresses

Primary practice location

1531 N Aspen St
Lincolnton, NC 28092-7268

Mailing address

4109 River Birch Dr
Iron Station, NC 28080-8509
Phone (704) 999-3452

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111014000002 NC Practitioner - Physician Assistant 0042482119 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cleco Primary Care Network Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Emergency Medicine Physicians of Iredell County, PLLC Past Accepting new patients
Cleco Primary Care Network Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jsexton2947685@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 7

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": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1326327610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 RIVER BIRCH DR",
            "city": "IRON STATION",
            "state": "NC",
            "postal_code": "280808509",
            "telephone_number": "704-999-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 N ASPEN ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280927268",
            "telephone_number": "704-732-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEXTON",
        "first_name": "JEREMY",
        "middle_name": "WADE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-04",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-03042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

Verify at the official NPI Registry.