Individual provider Active NPI

Patrick Cvelic, PAC

  • Physician Assistant
  • High Point, NC
National Provider Identifier
1336325117
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
611 N Lindsay St
Suite 200
High Point, NC 27262-4300
Phone
(336) 802-2250
Fax
(336) 802-2251
NPI assigned
Jan 11, 2008
Last updated
Jun 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

611 N Lindsay St
Suite 200
High Point, NC 27262-4300

Mailing address

607 Idol St
High Point, NC 27262-7804
Phone (336) 802-4000

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
I20080415000687 NC Practitioner - Physician Assistant 9638257793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CDT HealthcareGroup PAC ID 2365701596, 7 clinicians

Practice addresses (Care Compare)

101 Walmart Supercenter
Siler City, NC 27344-6755
Phone (919) 663-3911

1011 High Point St
Randleman, NC 27317-7192
Phone (336) 498-0226

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CDT Healthcare Physician Assistant CurrentSince Dec 4, 2017 Accepting new patients
Cornerstone Health Care PA Past Accepting new patients

Locations

101 Walmart Supercenter
Siler City, NC 27344
Phone (919) 663-3911

Interoperability endpoints

  • Direct secure messaging: patrick.cvelic.p1@direct.sss.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1336325117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 IDOL ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627804",
            "telephone_number": "336-802-4000",
            "fax_number": "336-802-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N LINDSAY ST",
            "address_2": "SUITE 200",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624300",
            "telephone_number": "336-802-2250",
            "fax_number": "336-802-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CVELIC",
        "first_name": "PATRICK",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.