Ricky J Vernon, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

118 Hamby Street
Dobson, NC 27017

Phone

(336) 401-8548

NPI assigned

Nov 17, 2007

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• County of Surry & Surry County Welfare Department

  dba Surry County Health & Nutrition Center

  • Public Health or Welfare Agency
  • Dobson, NC
  • NPI 1790825206
  Medicare reassignment
• County of Surry & Surry County Welfare Department

  dba Surry County Emergency Services

  • Land Ambulance
  • Mount Airy, NC
  • NPI 1306843107
  NPD

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

{
    "created_epoch": "1195257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195257600000",
    "number": "1346421427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 HAMBY STREET",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "27017",
            "telephone_number": "336-401-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 HAMBY STREET",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "27017",
            "telephone_number": "336-401-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNON",
        "first_name": "RICKY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-17",
        "last_updated": "2007-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surry County Schools
• David Randolph Swann, MA
• Kristie Lynn Szarpa, ANP
• The Adolphus Group, LLC (Riverwood Assisted Living)
• Marjorie Jean True, FNP
• Magan Danielle Vogler
• Alexander Manson Waite, DO
• Kelley Campbell Waite, FNP
• Wake Forest Health Network LLC (Atrium Health Wake Forest Baptist Family Medicine - Dobson)
• Walgreen Co (Walgreens #16123)

• Medical Physician Assistant in Dobson, NC
• Providers in Dobson, 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 Nov 17, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.