Active NPI
Frank C Patrick, PA
- Physician Assistant
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 101216
- Practice address
- 105 Hanes Square Cir
Winston Salem, NC 27103-5514 - Phone
- (336) 441-5569
- Fax
- (336) 771-1907
- NPI assigned
- Apr 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 011820 | NY | |
| Physician Assistant | 363A00000X | 101216 | NC | Primary |
Addresses
Primary practice location
105 Hanes Square Cir
Winston Salem, NC 27103-5514
Mailing address
PO Box 601843
Charlotte, NC 28260-1843
Other practice location 1
226 Academy St S
Ahoskie, NC 27910-2451
Phone (252) 209-3994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Hanes Square Cir
Winston Salem, NC 27103-5514
Phone (336) 441-5569
2452 Fairlawn CT
Winston Salem, NC 27106-3884
Phone (336) 281-5965
2635 Lawndale Dr
Greensboro, NC 27408-4802
Phone (336) 867-4310
3163 Gammon LN
Clemmons, NC 27012-9052
Phone (336) 310-5571
50 Miller St
Suite C
Winston Salem, NC 27104-4206
Phone (336) 310-5535
5870 Samet Dr
High Point, NC 27265-3646
Phone (336) 803-7311
794 S Main St
Suite B
Kernersville, NC 27284-4074
Phone (336) 904-2317
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101216 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alamance Regional Medical Center, Inc | Current | Accepting new patients | |
| Alamance Regional Medical Center, Inc. | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| The Moses H Cone Memorial Hospital Operating Corporation | Physician Assistant | Current | Accepting new patients |
| Carolina Medicorp Enterprises, LLC | Current | Accepting new patients | |
| The Moses H Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Carolina Medicorp Enterprises LLC | Current | Accepting new patients | |
| Carolina Medicorp Enterprises Inc | Past | Accepting new patients |
Locations
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510
2400 W Friendly Ave
Greensboro, NC 27403
Phone (336) 832-1100
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
1123 N Church St
Greensboro, NC 27401
Phone (336) 832-4400
618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965
600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040
105 Hanes Square Cir
Winston Salem, NC 27103
Phone (336) 441-5569
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
130 North St
Walton, NY 13856
Phone (607) 865-6541
Interoperability endpoints
- fpatrick1057961@direct.novanthealth.org
Organizations & group practices 11
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.
-
dba Novant Health GoHealth Urgent Care
- Urgent Care Clinic/Center
- Charlotte, NC
- NPI 1760950646
-
- General Acute Care Hospital
- Burlington, NC
- NPI 1326010273
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1356372064
Physician Assistant
-
dba Bassett Medical Center
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
dba ARMC Health Care Employee Pharmacy
- Pharmacy
- Burlington, NC
- NPI 1851681993
-
dba Novant Health GoHealth North Asheville Primary Care
- Family Medicine Physician
- Asheville, NC
- NPI 1568242766
-
dba Novant Health GoHealth Urgent Care
- Urgent Care Clinic/Center
- Asheville, NC
- NPI 1235014796
-
dba Cone Health Community Pharmacy at Eden
- Community/Retail Pharmacy
- Eden, NC
- NPI 1861222507
-
dba Novant Health Pediatric Urgent Care
- Pediatrics Physician
- Charlotte, NC
- NPI 1417497504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1336102060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601843",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 HANES SQUARE CIR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271035514",
"telephone_number": "336-441-5569",
"fax_number": "336-771-1907"
}
],
"practiceLocations": [
{
"address_1": "226 Academy St S",
"address_purpose": "LOCATION",
"city": "Ahoskie",
"state": "NC",
"postal_code": "279102451",
"country_code": "US",
"telephone_number": "252-209-3994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATRICK",
"first_name": "FRANK",
"middle_name": "C",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-12",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "011820",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "101216",
"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 Jun 23, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.