Robert C. Dichiera, P.A.

Individual provider Active NPI Physician Assistant · Belhaven, NC

NPI 1346544764 · NPPES record last updated Mar 28, 2025

Key facts

NPI
1346544764
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
0010-14260 (NC)
Practice address
598 W Old County Rd
Belhaven, NC 27810-1232
Phone
(252) 943-0600
NPI assigned
Dec 28, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLC (986 clinicians)

Practice addresses (Care Compare)

1380 Cowell Farm Rd
Washington, NC 27889-3431
Phone (252) 946-2101

2906 N Main St
Tarboro, NC 27886-1921
Phone (252) 823-7212

401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080

598 W Old County Rd
Belhaven, NC 27810-1232
Phone (252) 943-0600

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250527001896 NC Practitioner - Physician Assistant 9133472277 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
008687GAMDPhysician Assistant
0010-14260NCMDPhysician Assistant
1092269TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC Current
since May 13, 2025
Accepting new patients
Vidant Medical Group LLC Current
since May 13, 2025
Accepting new patients

Locations

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-14260 NC Yes
Physician Assistant 363A00000X 008687 GA
Physician Assistant 363A00000X 1092269 TX

Addresses

Primary practice location

598 W Old County Rd
Belhaven, NC 27810-1232

Mailing address

5056 NC Highway 43 S
Greenville, NC 27858-8357
Phone (719) 237-2530

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 28, 2025.

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1346544764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5056 NC HIGHWAY 43 S",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278588357",
            "telephone_number": "719-237-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 W OLD COUNTY RD",
            "city": "BELHAVEN",
            "state": "NC",
            "postal_code": "278101232",
            "telephone_number": "252-943-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICHIERA",
        "first_name": "ROBERT",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14260",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "008687",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "1092269",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belhaven, NC

All providers in Belhaven, NC · Physician Assistant in North Carolina

Sources for this page

Verify at the official NPI Registry.