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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250527001896 | NC | Practitioner - Physician Assistant | 9133472277 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008687 | GA | MD | Physician Assistant |
| 0010-14260 | NC | MD | Physician Assistant |
| 1092269 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current |
Accepting new patients | |
| Vidant Medical Group LLC | Current |
Accepting new patients |
Locations
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Charles Otis Boyette MD
- Coastal Family Practice, PLLC
- Alexander Corcoran
- Andrew Stephen Cox
- David H. Elliott, II
- Ann Davis Douglas
- Ashton Bizzell Eakes
- Amie R Elliott
- David Horace Elliott II
- Scott John Ellis
All providers in Belhaven, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.