Individual provider Active NPI

Serena Famatta York, M.D.

  • Internal Medicine Physician
  • Hendersonville, NC
National Provider Identifier
1336150952
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2008-01439 Issued in NC
Practice address
800 N Justice St
Hendersonville, NC 28791
Phone
(828) 696-1000
Fax
(828) 696-1314
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 23243 SC
Internal Medicine Physician 207R00000X 23243 SC
Hospitalist Physician 208M00000X 2008-01439 NC
Internal Medicine Physician 207R00000X 2008-01439 NC Primary

Addresses

Primary practice location

800 N Justice St
Hendersonville, NC 28791

Mailing address

PO Box 602458
Charlotte, NC 28260-2458
Phone (910) 291-6904

Other practice location 1

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 291-6904

Other practice location 2

250 Hospital Dr
Lexington, NC 27292-6792
Phone (336) 716-2255

Other identifiers 1

IdentifierTypeStateIssuer
NCH988COtherNCMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061018000336 SC Practitioner - Internal Medicine 4880690627 Reassigns benefits to 3 organizations
I20081122000040 NC Practitioner - Internal MedicinePractitioner - Hospitalist 4880690627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest University Health Sciences 2,633 clinicians

Practice addresses (Care Compare)

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

  • Blue Ridge Healthcare Hospitals, Inc Hospital, Morganton, NC, CCN 340075
  • High Point Regional Health System Hospital, High Point, NC, CCN 340004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2008-01439NCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Henderson County Hospital Corporation CurrentSince Feb 1, 2018 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Hospitalist CurrentSince Oct 1, 2020 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients
Henderson County Hospital Corporation CurrentSince Feb 1, 2018 Accepting new patients
Wake Forest University Health Sciences CurrentSince Dec 14, 2019 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Jan 1, 2015 Accepting new patients
Sound Physicians of South Carolina, LLC Internal Medicine CurrentSince Dec 22, 2018 Accepting new patients
Palmetto Health Internal Medicine Past Accepting new patients
Prisma Health-Midlands Past Accepting new patients
Mary Black Physicians Group LLC Internal Medicine Past Accepting new patients
Unc Rockingham Health Care, Inc. Past Accepting new patients
Cogent Healthcare of North Carolina, PC Internal Medicine Past Accepting new patients
York Physician Services PC Hospitalist Past Accepting new patients

Locations

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

250 Hospital Dr
Lexington, NC 27292
Phone (336) 238-4150

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

Interoperability endpoints

  • Direct secure messaging: syork2792165@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: syork227458@direct.unc.nchie.net

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1336150952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602458",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602458",
            "telephone_number": "910-291-6904",
            "fax_number": "910-291-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N JUSTICE ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "28791",
            "telephone_number": "828-696-1000",
            "fax_number": "828-696-1314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Lauchwood Dr",
            "address_purpose": "LOCATION",
            "city": "Laurinburg",
            "state": "NC",
            "postal_code": "283525501",
            "country_code": "US",
            "telephone_number": "910-291-6904",
            "fax_number": "910-291-6907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NC",
            "postal_code": "272926792",
            "country_code": "US",
            "telephone_number": "336-716-2255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YORK",
        "first_name": "SERENA",
        "middle_name": "FAMATTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "23243",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "23243",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2008-01439",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2008-01439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NCH988C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.